Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › COLUMBUS › CLASSIC MOBILE DENTAL SERVICES-CYNTHIA TUFTS WHITE D.D.S., INC

CLASSIC MOBILE DENTAL SERVICES-CYNTHIA TUFTS WHITE D.D.S., INC

NPI: 1154532778 · COLUMBUS, OH 43221 · General Practice Dentistry · NPI assigned 05/25/2007

$2K
Total Medicaid Paid
176
Total Claims
176
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialWHITE, CYNTHIA (PRESIDENT, OWNER)
NPI Enumeration Date05/25/2007

Related Entities

Other providers sharing the same authorized official: WHITE, CYNTHIA

ProviderCityStateTotal Paid
COMMUNITY MEDICAL CENTER INC MISSOULA MT $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128 $1K
2019 35 $887.65
2020 13 $222.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 62 62 $1K
D0120 Periodic oral evaluation - established patient 114 114 $1K