Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPECIAL CARE DENTAL OF PENNSYLVANIA-CKK LLC

NPI: 1003549288 · PRINCESS ANNE, MD 21853 · Dentist · NPI assigned 07/06/2022

$8K

Total Medicaid Paid

147

Total Claims

147

Beneficiaries

4

Codes Billed

2023-10

First Month

2024-04

Last Month

Provider Details

Authorized Official	STEVENS, JOY (DIRECTOR OF REVENUE)
NPI Enumeration Date	07/06/2022

Related Entities

Other providers sharing the same authorized official: STEVENS, JOY

Provider	City	State	Total Paid
QOFL SERVICES LLC	LOUISVILLE	KY	$2.69M
CITIZENSDX LLC	LOUISVILLE	KY	$754K
GIAIMO MOBILE PODIATRY OF WV PLLC	CHARLESTON	WV	$490K
360CARE SERVICES OF AL LLC	MONTGOMERY	AL	$425K
DR JEFFREY BROOKS PC	JEFFERSON CITY	MO	$410K
GIAIMO PODIATRY OF NEBRASKA LLC	LINCOLN	NE	$84K
360CARE SERVICES OF KENTUCKY LLC	LOUISVILLE	KY	$48K
GIAIMO MOBILE PODIATRY LLC	TOPEKA	KS	$27K
GIAIMO MOBILE POD MD LLC	BALTIMORE	MD	$24K
ESCOBAR MOBILE AUD OF MO LLC	JEFFERSON CITY	MO	$22K
FELTZ OPTOMETRY OF PA LLC	BALTIMORE	MD	$15K
SPECIAL CARE HEARING OF PENNSYLVANIA, LLC	LINCOLN	NE	$2K
360CARE SERVICES OF KENTUCKY LLC	LOUISVILLE	KY	$2K
ESCOBAR MOBILE AUD KS LLC	TOPEKA	KS	$2K
360CARE LLC	COLUMBIA	SC	$0.00
CITIZENSDX TEXAS LLC	AUSTIN	TX	$0.00

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	71	$4K
2024	76	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		72	72	$4K
D0210		47	47	$3K
D1110		14	14	$939.68
D0120		14	14	$445.34