Medicaid Provider Spending

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

ROCKET CITY KIDS PEDIATRIC DENTISTRY, LLC

NPI: 1164844718 · HUNTSVILLE, AL 35801 · Dental Clinic/Center · NPI assigned 01/16/2014

$43K
Total Medicaid Paid
1,902
Total Claims
1,880
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHELTON, WHITNEY (DENTIST)
NPI Enumeration Date01/16/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 259 $6K
2019 251 $6K
2020 253 $6K
2021 276 $7K
2022 394 $9K
2023 301 $7K
2024 168 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 722 716 $17K
D1208 Topical application of fluoride, excluding varnish 707 698 $12K
D1120 Prophylaxis - child 288 283 $10K
D0272 Bitewings - two radiographic images 185 183 $4K