Medicaid Provider Spending

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

BRIGHT SMILE DENTAL CLINIC LLC

NPI: 1205264330 · COVINGTON, VA 24426 · General Practice Dentistry · NPI assigned 10/29/2013

$4K
Total Medicaid Paid
186
Total Claims
186
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialJAFRI, AHMAD (OWNER)
NPI Enumeration Date10/29/2013

Related Entities

Other providers sharing the same authorized official: JAFRI, AHMAD

ProviderCityStateTotal Paid
KZJ PLLC ALVIN TX $1.09M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 186 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 71 71 $1K
D1120 Prophylaxis - child 40 40 $1K
D0120 Periodic oral evaluation - established patient 59 59 $1K
D0272 Bitewings - two radiographic images 16 16 $322.40