Medicaid Provider Spending

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

RIDDLE MONTGOMERY METHENY DDS INC

NPI: 1134284714 · ELKINS, WV 26241 · Dentist · NPI assigned 12/26/2006

$925.00
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
1
Codes Billed
2018-09
First Month
2019-09
Last Month

Provider Details

Authorized OfficialMONTGOMERY, ROBERT (DENTIST MANAGER SECRETARY)
NPI Enumeration Date12/26/2006

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, ROBERT

ProviderCityStateTotal Paid
ROGUE ANESTHESIA LLC GRANTS PASS OR $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $375.00
2019 25 $550.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 40 40 $925.00