Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › VESTAVIA › CAHABA HEIGHTS PEDIATRIC DENTISTRY, P.C.

CAHABA HEIGHTS PEDIATRIC DENTISTRY, P.C.

NPI: 1205256641 · VESTAVIA, AL 35243 · Dentist · NPI assigned 04/24/2014

$3K
Total Medicaid Paid
108
Total Claims
108
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-08
Last Month

Provider Details

Authorized OfficialRICHARDSON, ANDREW (OWNER)
NPI Enumeration Date04/24/2014

Related Entities

Other providers sharing the same authorized official: RICHARDSON, ANDREW

ProviderCityStateTotal Paid
HALIFAX COUNTY RESCUE SQUAD, INC SOUTH BOSTON VA $720K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 41 41 $1K
D1208 Topical application of fluoride, excluding varnish 67 67 $1K