Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › MECHANICSBURG › ADVANCED PEDIATRIC DENTISTRY LLC

ADVANCED PEDIATRIC DENTISTRY LLC

NPI: 1154976991 · MECHANICSBURG, PA 17055 · Pediatric Dentist · NPI assigned 08/08/2019

$35K
Total Medicaid Paid
1,150
Total Claims
1,149
Beneficiaries
6
Codes Billed
2022-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMYERS, ROBERT (OWNER)
NPI Enumeration Date08/08/2019

Related Entities

Other providers sharing the same authorized official: MYERS, ROBERT

ProviderCityStateTotal Paid
ADVANCE THERAPEUTICS, INC. WEST HATFIELD MA $146.17

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 72 $2K
2023 193 $6K
2024 885 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 335 334 $14K
D1206 Topical application of fluoride varnish 359 359 $9K
D0120 Periodic oral evaluation - established patient 300 300 $8K
D0272 Bitewings - two radiographic images 131 131 $3K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $652.80
D1110 Prophylaxis - adult 12 12 $609.95