Medicaid Provider Spending

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

ALDAN FAMILY DENTAL PC

NPI: 1013225176 · ALDAN, PA 19018 · General Practice Dentistry · NPI assigned 09/22/2010

$12K
Total Medicaid Paid
635
Total Claims
634
Beneficiaries
7
Codes Billed
2020-10
First Month
2021-02
Last Month

Provider Details

Authorized OfficialRUBINSON, MATTHEW (CONTROLLER)
NPI Enumeration Date09/22/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 416 $8K
2021 219 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 88 88 $4K
D0150 Comprehensive oral evaluation - new or established patient 108 108 $2K
D0274 Bitewings - four radiographic images 76 76 $2K
D1110 Prophylaxis - adult 45 45 $1K
D0120 Periodic oral evaluation - established patient 75 75 $1K
D0220 Intraoral - periapical first radiographic image 160 159 $1K
D0230 Intraoral - periapical each additional radiographic image 83 83 $673.44