Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › GOODYEAR › KATSUR DENTAL OF ARIZONA, INC.

KATSUR DENTAL OF ARIZONA, INC.

NPI: 1174771612 · GOODYEAR, AZ 85338 · General Practice Dentistry · NPI assigned 09/08/2008

$2K
Total Medicaid Paid
143
Total Claims
141
Beneficiaries
6
Codes Billed
2018-03
First Month
2020-07
Last Month

Provider Details

Authorized OfficialGARDINER, TERRI (CREDENTIALING COORDINATOR)
NPI Enumeration Date09/08/2008

Related Entities

Other providers sharing the same authorized official: GARDINER, TERRI

ProviderCityStateTotal Paid
GREENBERG DENTAL & ORTHODONTICS PA ALTAMONTE SPRINGS FL $31.50M
DR. JAMES T. KATSUR AND ASSOCIATES PC BRIDGEVILLE PA $4.87M
ULERY DENTAL AND ORTHODONTICS CROFTON MD $441K
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION HENDERSON NV $306K
GREENBERG DENTAL SPECIALTY GROUP ALTAMONTE SPRINGS FL $78K
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION CARSON CITY NV $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $884.93
2019 28 $451.23
2020 32 $369.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 60 58 $567.22
D0120 Periodic oral evaluation - established patient 29 29 $398.06
D0330 Panoramic radiographic image 12 12 $325.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $186.23
D1120 Prophylaxis - child 16 16 $163.31
D1208 Topical application of fluoride, excluding varnish 14 14 $65.94