Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › CHANDLER › PHOENICIAN DENTAL CENTER LLC

PHOENICIAN DENTAL CENTER LLC

NPI: 1124578919 · CHANDLER, AZ 85224 · Dentist · NPI assigned 10/05/2016

$810.74
Total Medicaid Paid
126
Total Claims
119
Beneficiaries
4
Codes Billed
2021-09
First Month
2023-05
Last Month

Provider Details

Authorized OfficialAHLAWAT, ANUPAM (COO)
NPI Enumeration Date10/05/2016

Related Entities

Other providers sharing the same authorized official: AHLAWAT, ANUPAM

ProviderCityStateTotal Paid
PHOENIX NEUROLOGICAL INSTITUTE, INC CHANDLER AZ $17.96M
JOCHIM FAMILY PRACTICE LLC COTTONWOOD AZ $203K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 99 $746.00
2022 14 $26.34
2023 13 $38.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 76 72 $271.82
D0150 Comprehensive oral evaluation - new or established patient 16 16 $236.02
D0140 Limited oral evaluation - problem focused 15 15 $223.40
D0230 Intraoral - periapical each additional radiographic image 19 16 $79.50