Medicaid Provider Spending

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

KENNEDY R DELE, DMD PC

NPI: 1073341103 · ANNAPOLIS, MD 21401 · General Practice Dentistry · NPI assigned 07/22/2024

$14K
Total Medicaid Paid
428
Total Claims
428
Beneficiaries
7
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDELE, KENNEDY (OWNER)
NPI Enumeration Date07/22/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 428 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 56 56 $4K
D1120 Prophylaxis - child 52 52 $3K
D0120 Periodic oral evaluation - established patient 78 78 $2K
D1208 Topical application of fluoride, excluding varnish 96 96 $2K
D0274 Bitewings - four radiographic images 74 74 $2K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $901.44
D1330 56 56 $403.20