Medicaid Provider Spending

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

CHRISTIANA DENTAL SPA PA

NPI: 1225364409 · NEWARK, DE 19713 · Dentist · NPI assigned 10/23/2009

$79K
Total Medicaid Paid
2,703
Total Claims
2,358
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialNGUYEN, LINDA (OWNER)
NPI Enumeration Date10/23/2009

Related Entities

Other providers sharing the same authorized official: NGUYEN, LINDA

ProviderCityStateTotal Paid
ELEVATE EYE CARE, PLLC DALLAS TX $60K
LINDA NGUYEN DDS INC GLENDALE CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 869 $23K
2019 1,600 $51K
2020 234 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 666 600 $20K
D0120 Periodic oral evaluation - established patient 611 509 $19K
D1120 Prophylaxis - child 393 350 $18K
D0220 Intraoral - periapical first radiographic image 275 242 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 39 12 $5K
D1110 Prophylaxis - adult 68 60 $4K
D0274 Bitewings - four radiographic images 89 78 $4K
D0230 Intraoral - periapical each additional radiographic image 230 201 $4K
D0602 291 273 $0.00
D0601 41 33 $0.00