Medicaid Provider Spending

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

KIDDIE CAVITY CARE THMD, LLC

NPI: 1184116618 · TEMPLE HILLS, MD 20748 · Pediatric Dentist · NPI assigned 05/31/2018

$1K
Total Medicaid Paid
48
Total Claims
48
Beneficiaries
2
Codes Billed
2022-09
First Month
2022-10
Last Month

Provider Details

Authorized OfficialALTMON, EPHRAIM (OWNER)
NPI Enumeration Date05/31/2018

Related Entities

Other providers sharing the same authorized official: ALTMON, EPHRAIM

ProviderCityStateTotal Paid
KIDDIE CAVITY CARE TEMPLE HILLS MD $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 48 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 33 33 $723.61
D1120 Prophylaxis - child 15 15 $598.42