Medicaid Provider Spending

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

WOODBURY DENTAL ASSOCIATES PA

NPI: 1235670811 · WENONAH, NJ 08090 · Dentist · NPI assigned 03/15/2017

$41K
Total Medicaid Paid
1,168
Total Claims
1,121
Beneficiaries
7
Codes Billed
2021-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZANGER, SARAH (MANAGER)
NPI Enumeration Date03/15/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 63 $2K
2022 167 $6K
2023 641 $22K
2024 297 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 423 410 $21K
D0120 Periodic oral evaluation - established patient 335 328 $10K
D0140 Limited oral evaluation - problem focused 81 81 $4K
D1208 Topical application of fluoride, excluding varnish 156 145 $3K
D0210 Intraoral - complete series of radiographic images 39 39 $2K
D0150 Comprehensive oral evaluation - new or established patient 40 40 $1K
D0220 Intraoral - periapical first radiographic image 94 78 $350.00