SHENANDOAH DENTAL CLINIC INC
NPI: 1124265699
· WOODSTOCK, VA 22664
· Dental Clinic/Center
· NPI assigned 01/20/2009
$1.05M
Total Medicaid Paid
Provider Details
| Authorized Official | MURPHY, PAM (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/20/2009 |
Related Entities
Other providers sharing the same authorized official: MURPHY, PAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,842 |
$94K |
| 2019 |
8,200 |
$231K |
| 2020 |
5,847 |
$171K |
| 2021 |
6,791 |
$216K |
| 2022 |
4,913 |
$194K |
| 2023 |
5,269 |
$143K |
| 2024 |
3,202 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
1,933 |
525 |
$133K |
| D1110 |
|
3,335 |
3,281 |
$125K |
| D2391 |
|
2,128 |
1,134 |
$115K |
| D2392 |
|
1,648 |
1,087 |
$105K |
| D0120 |
|
5,203 |
5,136 |
$85K |
| D1120 |
|
2,559 |
2,538 |
$80K |
| D7140 |
|
1,168 |
392 |
$51K |
| D9630 |
|
2,887 |
2,849 |
$50K |
| D0140 |
|
3,096 |
2,335 |
$48K |
| D0150 |
|
1,944 |
1,524 |
$45K |
| D0274 |
|
1,858 |
1,830 |
$41K |
| D1208 |
|
1,964 |
1,961 |
$39K |
| D1206 |
|
2,068 |
2,028 |
$35K |
| D0220 |
|
3,549 |
2,617 |
$26K |
| D0210 |
|
277 |
272 |
$18K |
| D0330 |
|
496 |
342 |
$17K |
| D0272 |
|
786 |
774 |
$16K |
| D2393 |
|
101 |
88 |
$11K |
| D0230 |
|
956 |
507 |
$7K |
| D1351 |
|
40 |
12 |
$1K |
| D1330 |
|
68 |
68 |
$0.00 |