Medicaid Provider Spending

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

ACCESS DENTAL CARE, LLC

NPI: 1184140121 · DECATUR, AL 35601 · General Practice Dentistry · NPI assigned 08/22/2017

$20K
Total Medicaid Paid
1,068
Total Claims
944
Beneficiaries
9
Codes Billed
2019-04
First Month
2021-07
Last Month

Provider Details

Authorized OfficialANTHONY, JASSEN (MEMBER)
NPI Enumeration Date08/22/2017

Related Entities

Other providers sharing the same authorized official: ANTHONY, JASSEN

ProviderCityStateTotal Paid
ANTHONY DENTAL SERVICES P.C. DECATUR AL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 577 $11K
2020 286 $6K
2021 205 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 251 226 $6K
D0120 Periodic oral evaluation - established patient 289 274 $5K
D1208 Topical application of fluoride, excluding varnish 287 251 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 12 $1K
D1110 Prophylaxis - adult 38 37 $1K
D0330 Panoramic radiographic image 35 28 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 51 40 $873.00
D0150 Comprehensive oral evaluation - new or established patient 54 41 $814.00
D0272 Bitewings - two radiographic images 41 35 $432.00