Medicaid Provider Spending

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

POWHATAN GENTLE DENTISTRY PLC

NPI: 1043630569 · POWHATAN, VA 23139 · Dentist · NPI assigned 04/23/2014

$35K
Total Medicaid Paid
1,525
Total Claims
1,515
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialDEVERA, GENEVIEVE (DENTIST AND OWNER)
NPI Enumeration Date04/23/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 329 $7K
2019 219 $5K
2020 645 $16K
2021 332 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 494 492 $10K
D9630 431 429 $8K
D0120 Periodic oral evaluation - established patient 263 261 $5K
D1110 Prophylaxis - adult 86 86 $4K
D1120 Prophylaxis - child 86 84 $3K
D0210 Intraoral - complete series of radiographic images 52 50 $2K
D0274 Bitewings - four radiographic images 83 83 $2K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $939.30