Medicaid Provider Spending

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

NPI: 1164776696 · TEMPLE HILLS, MD 20748 · General Practice Dentistry · NPI assigned 11/06/2012

$470.04
Total Medicaid Paid
31
Total Claims
28
Beneficiaries
2
Codes Billed
2019-04
First Month
2019-04
Last Month

Provider Details

Authorized OfficialPILGRIM, KARL (OWNER)
NPI Enumeration Date11/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 31 $470.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 12 12 $299.04
D0220 Intraoral - periapical first radiographic image 19 16 $171.00