Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › LEBANON › MOOREHEAD DENTISTRY LEBANON LLC

MOOREHEAD DENTISTRY LEBANON LLC

NPI: 1225631773 · LEBANON, OH 45036 · General Practice Dentistry · NPI assigned 11/18/2020

$19K
Total Medicaid Paid
230
Total Claims
158
Beneficiaries
4
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMICHAEL, PHIL (COO)
NPI Enumeration Date11/18/2020

Related Entities

Other providers sharing the same authorized official: MICHAEL, PHIL

ProviderCityStateTotal Paid
MOOREHEAD DENTISTRY LLC BATAVIA OH $40K
CHARLES D MOOREHEAD DDS LLC BLUE ASH OH $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 230 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9243 115 44 $8K
D9239 45 45 $6K
D0330 Panoramic radiographic image 54 53 $5K
D0140 Limited oral evaluation - problem focused 16 16 $690.40