Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BIG SMILES DC, P.C.

NPI: 1174817589 · WASHINGTON, DC 20006 · Dentist · NPI assigned 06/02/2011

$22K
Total Medicaid Paid
553
Total Claims
511
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialPESIS, SOLOMON (DENTAL DIRECTOR)
NPI Enumeration Date06/02/2011

Related Entities

Other providers sharing the same authorized official: PESIS, SOLOMON

ProviderCityStateTotal Paid
S K PESIS DDS, BIG SMILES MARYLAND, PC BALTIMORE MD $6.92M
PESIS DENTAL GROUP, P.C. FARMINGTON HILLS MI $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 553 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 207 190 $8K
D0150 Comprehensive oral evaluation - new or established patient 113 106 $8K
D1206 Topical application of fluoride varnish 204 187 $5K
D0120 Periodic oral evaluation - established patient 29 28 $980.00