Medicaid Provider Spending

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

NPI: 1164831541 · BENSALEM, PA 19020 · Pediatric Dentist · NPI assigned 08/11/2014

$12K
Total Medicaid Paid
221
Total Claims
220
Beneficiaries
4
Codes Billed
2018-04
First Month
2018-11
Last Month

Provider Details

Authorized OfficialFELIX, ERIC (PRESIDENT)
NPI Enumeration Date08/11/2014

Related Entities

Other providers sharing the same authorized official: FELIX, ERIC

ProviderCityStateTotal Paid
CHILDREN'S DENTAL HEALTH ASSOCIATES CHADDS FORD PA $40.64M
CHILDRENS SURGERY CENTER, LLC LANCASTER PA $8.08M
TICKLE TOOTH HOLDINGS P.C. EXTON PA $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 221 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 57 57 $4K
D0120 Periodic oral evaluation - established patient 68 68 $4K
D1208 Topical application of fluoride, excluding varnish 83 83 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13 12 $689.00