Medicaid Provider Spending

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

NPI: 1093431397 · ODENTON, MD 21113 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/18/2022

$4K
Total Medicaid Paid
208
Total Claims
204
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRAJAEI, ALIREZA (OWNER)
Parent OrganizationR3 DENTAL GROUP LLC
NPI Enumeration Date10/18/2022

Related Entities

Other providers sharing the same authorized official: RAJAEI, ALIREZA

ProviderCityStateTotal Paid
R3 DENTAL GROUP LLC SILVER SPRING MD $8.18M
R3 DENTAL GROUP LLC HYATTSVILLE MD $6.41M
SEQUENCE ORTHODONTICS WALDORF MD $858K
R3 DENTAL GROUP LLC GERMANTOWN MD $762K
R3 DENTAL - CEDAR SMILES COLUMBIA MD $38K
CEDAR SMILES COLUMBIA MD $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 143 $3K
2024 65 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 56 56 $1K
D1110 Prophylaxis - adult 17 17 $1K
D0220 Intraoral - periapical first radiographic image 95 91 $991.54
D0120 Periodic oral evaluation - established patient 28 28 $890.68
D0230 Intraoral - periapical each additional radiographic image 12 12 $78.72