Medicaid Provider Spending

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

ALPHA DENTAL

NPI: 1245868827 · DOTHAN, AL 36301 · General Practice Dentistry · NPI assigned 03/30/2020

$2K
Total Medicaid Paid
80
Total Claims
80
Beneficiaries
5
Codes Billed
2022-07
First Month
2022-07
Last Month

Provider Details

Authorized OfficialLEWIS, ROTH RUBE (OWNER)
NPI Enumeration Date03/30/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 80 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 15 15 $990.00
D1120 Prophylaxis - child 18 18 $648.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $533.00
D1208 Topical application of fluoride, excluding varnish 17 17 $306.00
D1330 17 17 $0.00