Medicaid Provider Spending

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

KEYSER FAMILY DENTISTRY, PLLC

NPI: 1164915526 · KEYSER, WV 26726 · General Practice Dentistry · NPI assigned 06/11/2018

$7K
Total Medicaid Paid
462
Total Claims
431
Beneficiaries
9
Codes Billed
2020-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialNICHOLS, TIMOTHY (PRESIDENT)
NPI Enumeration Date06/11/2018

Related Entities

Other providers sharing the same authorized official: NICHOLS, TIMOTHY

ProviderCityStateTotal Paid
ABILITY UNITED LLC CARROLL IA $43.78M
NICHOLS PEDIATRIC DENTISTRY PLLC LONGMONT CO $419K
CLINIC FOR VISION PC ALBERTVILLE AL $413K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 462 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 116 109 $2K
D1120 Prophylaxis - child 55 52 $2K
D0120 Periodic oral evaluation - established patient 81 74 $2K
D0140 Limited oral evaluation - problem focused 94 91 $992.50
D0150 Comprehensive oral evaluation - new or established patient 14 14 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 13 12 $0.00
D0274 Bitewings - four radiographic images 14 14 $0.00
D1110 Prophylaxis - adult 15 15 $0.00
D1999 60 50 $0.00