Medicaid Provider Spending

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

PDOM FOREST HILLS LLC

NPI: 1184963977 · FOREST HILL, MD 21050 · Dentist · NPI assigned 02/14/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$1.71M
Total Medicaid Paid
44,752
Total Claims
40,506
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
NPI Enumeration Date02/14/2013

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,848 $111K
2019 3,891 $145K
2020 2,837 $98K
2021 5,327 $188K
2022 9,191 $324K
2023 10,650 $436K
2024 10,008 $410K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 5,963 5,756 $439K
D1120 Prophylaxis - child 6,511 6,407 $281K
D1206 Topical application of fluoride varnish 8,338 8,208 $203K
D0120 Periodic oral evaluation - established patient 6,249 6,156 $182K
D1351 Sealant - per tooth 3,792 617 $131K
D1110 Prophylaxis - adult 1,350 1,331 $80K
D0150 Comprehensive oral evaluation - new or established patient 1,469 1,442 $76K
D2391 Resin-based composite - one surface, posterior, primary or permanent 480 380 $49K
D0272 Bitewings - two radiographic images 3,012 2,958 $45K
D8660 246 237 $36K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 266 223 $35K
D0330 Panoramic radiographic image 787 764 $33K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,409 1,308 $26K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 25 25 $26K
D1330 3,224 3,176 $20K
D7140 Extraction, erupted tooth or exposed root 151 88 $16K
D0274 Bitewings - four radiographic images 642 625 $14K
D0140 Limited oral evaluation - problem focused 255 250 $12K
D0220 Intraoral - periapical first radiographic image 524 501 $5K
D2930 Prefabricated stainless steel crown - primary tooth 16 12 $2K
D0230 Intraoral - periapical each additional radiographic image 31 30 $276.00
D0270 12 12 $108.00