Medicaid Provider Spending

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

ROMNEY PEDIATRIC DENTISTRY, LLC

NPI: 1063891976 · BARTONVILLE, TX 76226 · Pediatric Dentist · NPI assigned 05/26/2015

$2K
Total Medicaid Paid
107
Total Claims
96
Beneficiaries
6
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialROMNEY, NATHAN (DENTIST/OWNER)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: ROMNEY, NATHAN

ProviderCityStateTotal Paid
AUBREY PEDIATRIC DENTISTRY AUBREY TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 107 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 16 15 $474.08
D0120 Periodic oral evaluation - established patient 17 16 $458.72
D1206 Topical application of fluoride varnish 17 16 $233.73
D0220 Intraoral - periapical first radiographic image 20 16 $199.70
D0230 Intraoral - periapical each additional radiographic image 20 16 $183.01
D0603 17 17 $0.00