Medicaid Provider Spending

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

TYSONS DENTAL CORNER PC

NPI: 1053853341 · FALLS CHURCH, VA 22043 · Dental Clinic/Center · NPI assigned 11/17/2016

$0.00
Total Medicaid Paid
65
Total Claims
52
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialALATHARI, RASHA (OFFICE MANAGER)
NPI Enumeration Date11/17/2016

Related Entities

Other providers sharing the same authorized official: ALATHARI, RASHA

ProviderCityStateTotal Paid
POTOMAC DENTAL CARE PC WOODBRIDGE VA $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 65 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 14 12 $0.00
D0230 Intraoral - periapical each additional radiographic image 14 12 $0.00
D0220 Intraoral - periapical first radiographic image 37 28 $0.00