Medicaid Provider Spending

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

PARKWAY DENTAL LLC

NPI: 1154664027 · ROSLINDALE, MA 02131 · Dentist · NPI assigned 03/29/2013

$67K
Total Medicaid Paid
1,931
Total Claims
1,773
Beneficiaries
9
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialIZEDIAN, RAMESH (OWNER)
NPI Enumeration Date03/29/2013

Related Entities

Other providers sharing the same authorized official: IZEDIAN, RAMESH

ProviderCityStateTotal Paid
HIGHLAND DMD CORP FALL RIVER MA $486K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $8K
2019 341 $12K
2020 159 $5K
2021 434 $15K
2022 751 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 932 853 $42K
D0120 Periodic oral evaluation - established patient 580 529 $12K
D0274 Bitewings - four radiographic images 158 146 $5K
D0150 Comprehensive oral evaluation - new or established patient 55 53 $2K
D1206 Topical application of fluoride varnish 93 86 $2K
D0140 Limited oral evaluation - problem focused 39 36 $2K
D1120 Prophylaxis - child 45 43 $1K
D0210 Intraoral - complete series of radiographic images 14 14 $1K
D0220 Intraoral - periapical first radiographic image 15 13 $196.00