Medicaid Provider Spending

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

UNIVERSITY CITY DENTAL CENTER

NPI: 1184898587 · PHILADELPHIA, PA 19143 · Dental Clinic/Center · NPI assigned 04/16/2008

$12K
Total Medicaid Paid
558
Total Claims
541
Beneficiaries
3
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDZILALA, SULEIMAN (PRESIDENT)
NPI Enumeration Date04/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 69 $2K
2024 489 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 318 308 $6K
D1110 Prophylaxis - adult 189 182 $6K
D0140 Limited oral evaluation - problem focused 51 51 $926.10