Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CNMC CLINIC AT DUNBAR HS

NPI: 1093252744 · WASHINGTON, DC 20001 · Dental Clinic/Center · NPI assigned 01/19/2017

$40K
Total Medicaid Paid
618
Total Claims
548
Beneficiaries
5
Codes Billed
2018-04
First Month
2023-12
Last Month

Provider Details

Authorized OfficialPFENNIG, SUSAN (SENIOR MANAGER)
Parent OrganizationCHILDREN'S HOSPITAL
NPI Enumeration Date01/19/2017

Related Entities

Other providers sharing the same authorized official: PFENNIG, SUSAN

ProviderCityStateTotal Paid
CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC FAIRFAX VA $43K
CNMC CLINIC AT BALLOU HS WASHINGTON DC $15K
CHILDREN'S HOSPITAL WASHINGTON DC $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 203 $15K
2019 200 $12K
2020 51 $3K
2022 42 $1K
2023 122 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 522 452 $36K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 32 32 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $186.69
99173 39 39 $146.77
96127 13 13 $62.53