Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CLEVELAND › DENTAL PROFESSIONAL CLEVELAND - NOUNEH, INC.

DENTAL PROFESSIONAL CLEVELAND - NOUNEH, INC.

NPI: 1083185516 · CLEVELAND, OH 44109 · General Practice Dentistry · NPI assigned 12/10/2018

$9K
Total Medicaid Paid
344
Total Claims
313
Beneficiaries
7
Codes Billed
2022-08
First Month
2023-09
Last Month

Provider Details

Authorized OfficialHERNANDEZ, BEATRIZ (SUPERVISOR)
NPI Enumeration Date12/10/2018

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, BEATRIZ

ProviderCityStateTotal Paid
DENTAL PROFESSIONALS CLEVELAND - NOUNEH, INC. MEDINA OH $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 278 $8K
2023 66 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 101 101 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 40 13 $2K
D0330 Panoramic radiographic image 34 34 $2K
D1120 Prophylaxis - child 69 68 $1K
D1208 Topical application of fluoride, excluding varnish 43 43 $645.00
D0120 Periodic oral evaluation - established patient 39 37 $641.31
D1206 Topical application of fluoride varnish 18 17 $264.00