Medicaid Provider Spending

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

ABOVE & BEYOND FAMILY DENTISTRY, LLC

NPI: 1033761390 · HANOVER, PA 17331 · General Practice Dentistry · NPI assigned 07/16/2019

$17K
Total Medicaid Paid
534
Total Claims
530
Beneficiaries
7
Codes Billed
2021-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialJBARAH, TARIK (OWNER)
Parent OrganizationABOVE & BEYOND FAMILY DENTISTRY, LLC
NPI Enumeration Date07/16/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 76 $4K
2024 458 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 186 185 $8K
D0120 Periodic oral evaluation - established patient 198 196 $5K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $1K
D1120 Prophylaxis - child 40 40 $1K
D1206 Topical application of fluoride varnish 47 47 $957.66
D0274 Bitewings - four radiographic images 24 24 $717.94
D0140 Limited oral evaluation - problem focused 13 12 $548.40