HCPCS Code D9930 · · Medicaid Spending

#	Provider	Location	Claims	Total Paid
1	MY COMMUNITY DENTAL CENTERS INC	PETOSKEY, MI	2,502	$74K
2	NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY	CHARLEVOIX, MI	627	$17K
3	TRAN N. DANG, D.M.D., P.S.	TACOMA, WA	207	$10K
4	THOMPSON.FERGUSON.PLLC	SEATTLE, WA	176	$6K
5	PA ORAL FACIAL & IMPLANT SURGERY	DU BOIS, PA	373	$6K
6	TRI-CITIES COMMUNITY HEALTH	PASCO, WA	69	$3K
7	STEADMAN, ROBERT	SPOKANE, WA	55	$2K
8	GANTZ, JONATHAN	WALLA WALLA, WA	50	$2K
9	FAMILY HEALTH CENTER, INC.	KALAMAZOO, MI	12	$2K
10	DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC	YAKIMA, WA	39	$2K
11	ALCHEIKH ALI, FIRAS	ASHBURN, VA	65	$975.00
12	ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY, PC	SWANSEA, MA	28	$798.00
13	ABNER MAHBOOBIAN DENTAL PARTNERSHIP	SAN FERNANDO, CA	33	$663.00
14	THOMPSON DMD PLLC	SUNNYSIDE, WA	23	$652.15
15	COMMUNITY HEALTH ASSOCIATION OF SPOKANE	SPOKANE, WA	14	$566.33
16	JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION	FRESNO, CA	17	$357.00
17	CHILDRENS HAPPY TEETH	LA MIRADA, CA	14	$0.00
18	AFFINIA HEALTHCARE	SAINT LOUIS, MO	23	$0.00

Medicaid Provider Spending