Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › FAIRHOPE › FAIRHOPE DENTAL ASSOCIATES LLC

FAIRHOPE DENTAL ASSOCIATES LLC

NPI: 1043231293 · FAIRHOPE, AL 36532 · General Practice Dentistry · NPI assigned 07/22/2006

$60K
Total Medicaid Paid
3,378
Total Claims
3,133
Beneficiaries
11
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialWILSON, WILLIAM (MANAGER)
NPI Enumeration Date07/22/2006

Related Entities

Other providers sharing the same authorized official: WILSON, WILLIAM

ProviderCityStateTotal Paid
LEGACY HEALTHCARE SERVICES, INC RALEIGH NC $238K
LEGACY HEALTHCARE SERVICES, INC. DURHAM NC $101K
SEQUOYAH DENTAL, PLLC FAYETTEVILLE AR $62K
COMMUNITY EMS DISTRICT GARRETTSVILLE OH $11K
LEGACY HEALTHCARE SERVICES INC. DENVER CO $0.00
LEGACY HEALTHCARE SERVICES INC FRANKLIN IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 335 $6K
2019 612 $13K
2020 1,066 $16K
2021 661 $12K
2022 704 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 1,281 1,192 $17K
D1110 Prophylaxis - adult 546 503 $17K
D0120 Periodic oral evaluation - established patient 702 670 $13K
D1999 614 556 $8K
D1120 Prophylaxis - child 62 61 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 19 12 $1K
D0150 Comprehensive oral evaluation - new or established patient 58 50 $888.60
D0210 Intraoral - complete series of radiographic images 12 12 $720.00
D0274 Bitewings - four radiographic images 38 35 $567.60
D0220 Intraoral - periapical first radiographic image 30 28 $300.30
D0230 Intraoral - periapical each additional radiographic image 16 14 $126.00