Medicaid Provider Spending

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

COLUMBUS CHILDREN'S DENTISTRY, PC

NPI: 1063828499 · COLUMBUS, GA 31909 · Pediatric Dentist · NPI assigned 07/07/2014

$94K
Total Medicaid Paid
3,150
Total Claims
3,095
Beneficiaries
6
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLER, MATTHEW (DENTIST/OWNER)
NPI Enumeration Date07/07/2014

Related Entities

Other providers sharing the same authorized official: KELLER, MATTHEW

ProviderCityStateTotal Paid
EAST SUBURBAN PEDIATRIC ASSOCIATES LTD MURRYSVILLE PA $355K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $752.00
2020 251 $7K
2021 355 $10K
2022 650 $20K
2023 905 $26K
2024 963 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,029 1,016 $36K
D1206 Topical application of fluoride varnish 1,135 1,114 $34K
D0120 Periodic oral evaluation - established patient 724 705 $18K
D0272 Bitewings - two radiographic images 209 207 $5K
D0150 Comprehensive oral evaluation - new or established patient 36 36 $1K
D1999 17 17 $0.00