Medicaid Provider Spending

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

MANASSAS MODERN DENTISTRY PLLC

NPI: 1114652286 · MANASSAS, VA 20109 · 122300000X

$103K
Total Medicaid Paid
5,620
Total Claims
4,486
Beneficiaries
19
Codes Billed
2022-10
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 509 $22K
2023 3,278 $81K
2024 1,833 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 598 305 $29K
D2391 305 166 $16K
D1110 563 561 $12K
D2393 101 57 $12K
D0150 442 436 $7K
D0220 1,219 1,089 $6K
D0230 1,029 638 $6K
D0274 337 334 $5K
D0210 137 114 $3K
D2950 149 108 $2K
D2331 16 12 $2K
D0120 293 292 $2K
D0140 108 108 $1K
D0330 13 13 $912.47
D1208 144 144 $810.90
D2740 126 69 $0.00
D7880 12 12 $0.00
D1120 13 13 $0.00
D4910 15 15 $0.00