Medicaid Provider Spending

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

CHILDREN'S DENTAL HEALTH ASSOCIATES OF ROSELLE P.C.

NPI: 1184000457 · ROSELLE, NJ 07203 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/10/2015

$25K
Total Medicaid Paid
2,253
Total Claims
2,224
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialALLEN, DANIEL (OFFICER)
NPI Enumeration Date08/10/2015

Related Entities

Other providers sharing the same authorized official: ALLEN, DANIEL

ProviderCityStateTotal Paid
DANIEL ALLEN, DMD, MSD, LLC BROWNSBURG IN $814K
DANIEL J ALLEN DO PC MERIDIAN ID $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,253 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 686 685 $8K
D1120 Prophylaxis - child 599 598 $7K
D0120 Periodic oral evaluation - established patient 522 521 $5K
D0150 Comprehensive oral evaluation - new or established patient 71 71 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 105 94 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26 13 $874.00
D9920 46 44 $665.00
D0272 Bitewings - two radiographic images 113 113 $485.00
D0274 Bitewings - four radiographic images 41 41 $369.00
D0220 Intraoral - periapical first radiographic image 44 44 $165.00