Medicaid Provider Spending

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

ART FAMILY DENTISTRY, INC

NPI: 1245774033 · WEST PALM BEACH, FL 33411 · General Practice Dentistry · NPI assigned 12/13/2016

$3K
Total Medicaid Paid
344
Total Claims
341
Beneficiaries
7
Codes Billed
2020-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialRAMOS-ABELENDA, IDALMIS (DENTIST)
NPI Enumeration Date12/13/2016

Related Entities

Other providers sharing the same authorized official: RAMOS-ABELENDA, IDALMIS

ProviderCityStateTotal Paid
CONGRESS COSMETIC & GENERAL DENTISTRY INC. PALM SPRINGS FL $741K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $0.00
2021 72 $732.60
2022 232 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 21 21 $2K
D1110 Prophylaxis - adult 26 26 $1K
D0230 Intraoral - periapical each additional radiographic image 38 35 $28.00
D1330 108 108 $0.00
D1208 Topical application of fluoride, excluding varnish 98 98 $0.00
D0220 Intraoral - periapical first radiographic image 38 38 $0.00
D1120 Prophylaxis - child 15 15 $0.00