Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › ANNANDALE › CLAROS DENTAL CARE, PC

CLAROS DENTAL CARE, PC

NPI: 1063851772 · ANNANDALE, VA 22003 · Dentist · NPI assigned 06/17/2013

$4K
Total Medicaid Paid
148
Total Claims
148
Beneficiaries
4
Codes Billed
2018-05
First Month
2021-08
Last Month

Provider Details

Authorized OfficialCLAROS, CLAUDIA (DENTAL DIRECTOR)
NPI Enumeration Date06/17/2013

Related Entities

Other providers sharing the same authorized official: CLAROS, CLAUDIA

ProviderCityStateTotal Paid
SMILES MOBILE DENTAL SERVICES ANNANDALE VA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $1K
2020 13 $270.27
2021 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 68 68 $1K
D1110 Prophylaxis - adult 24 24 $1K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $939.30
D0120 Periodic oral evaluation - established patient 26 26 $523.90