Medicaid Provider Spending

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

NORTH WEST DENTAL CARE

NPI: 1043819683 · WASHINGTON, DC 20010 · Public Health Dentist · NPI assigned 10/24/2020

$60K
Total Medicaid Paid
1,233
Total Claims
1,194
Beneficiaries
10
Codes Billed
2022-02
First Month
2022-12
Last Month

Provider Details

Authorized OfficialCHOUDHURY, ASHRAF (OWNER)
NPI Enumeration Date10/24/2020

Related Entities

Other providers sharing the same authorized official: CHOUDHURY, ASHRAF

ProviderCityStateTotal Paid
SOUTH EAST DENTAL CARE PC WASHINGTON DC $1.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,233 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2750 39 24 $19K
D1110 Prophylaxis - adult 211 211 $12K
D0330 Panoramic radiographic image 107 107 $6K
D0274 Bitewings - four radiographic images 153 152 $5K
D0140 Limited oral evaluation - problem focused 111 108 $5K
D1208 Topical application of fluoride, excluding varnish 227 227 $5K
D0120 Periodic oral evaluation - established patient 166 166 $4K
D0150 Comprehensive oral evaluation - new or established patient 41 41 $2K
D0220 Intraoral - periapical first radiographic image 138 133 $2K
D0230 Intraoral - periapical each additional radiographic image 40 25 $410.80