Medicaid Provider Spending

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

KIDZ CHOICE PEDIATRIC DENTISTRY OF CENTRAL FLORIDA

NPI: 1194157222 · ORLANDO, FL 32803 · Dental Clinic/Center · NPI assigned 07/31/2013

$13K
Total Medicaid Paid
753
Total Claims
679
Beneficiaries
11
Codes Billed
2018-09
First Month
2018-11
Last Month

Provider Details

Authorized OfficialCHOICE, JERESIA (OWNER)
NPI Enumeration Date07/31/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 753 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 131 130 $10K
D0220 Intraoral - periapical first radiographic image 61 60 $1K
D1351 Sealant - per tooth 73 15 $936.34
D0274 Bitewings - four radiographic images 12 12 $108.51
D1206 Topical application of fluoride varnish 109 108 $16.35
D1120 Prophylaxis - child 115 114 $0.00
D1110 Prophylaxis - adult 14 14 $0.00
D1208 Topical application of fluoride, excluding varnish 29 29 $0.00
D0272 Bitewings - two radiographic images 40 40 $0.00
D0230 Intraoral - periapical each additional radiographic image 29 18 $0.00
D1330 140 139 $0.00