Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › LUSBY › CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY

CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY

NPI: 1154655884 · LUSBY, MD 20657 · Public Health Dentist · NPI assigned 09/29/2009

$5K
Total Medicaid Paid
111
Total Claims
108
Beneficiaries
2
Codes Billed
2018-03
First Month
2022-12
Last Month

Provider Details

Authorized OfficialXINIS, JAMES (PRESIDENT/CEO)
Parent OrganizationCALVERT HEALTH SYSTEM, INC.
NPI Enumeration Date09/29/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $108.00
2022 99 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 99 96 $4K
D0220 Intraoral - periapical first radiographic image 12 12 $108.00