Medicaid Provider Spending

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

VA SMILES DENTAL CENTER PLLC

NPI: 1245945989 · FREDERICKSBURG, VA 22407 · Dentist · NPI assigned 01/17/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$61K
Total Medicaid Paid
11,648
Total Claims
10,729
Beneficiaries
25
Codes Billed
2023-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
NPI Enumeration Date01/17/2023

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 6,183 $61K
2024 5,465 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,184 1,161 $11K
D0120 Periodic oral evaluation - established patient 1,617 1,586 $8K
D0210 Intraoral - complete series of radiographic images 816 664 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 453 252 $6K
D0150 Comprehensive oral evaluation - new or established patient 1,021 995 $6K
D9630 1,235 1,218 $4K
D0274 Bitewings - four radiographic images 632 613 $3K
D1120 Prophylaxis - child 212 203 $3K
D0220 Intraoral - periapical first radiographic image 1,236 1,171 $3K
D9920 91 83 $2K
D0140 Limited oral evaluation - problem focused 513 502 $2K
D1208 Topical application of fluoride, excluding varnish 460 451 $2K
D4910 119 119 $1K
D0230 Intraoral - periapical each additional radiographic image 358 273 $268.07
D2391 Resin-based composite - one surface, posterior, primary or permanent 41 28 $0.00
D0330 Panoramic radiographic image 222 222 $0.00
D4341 159 55 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 70 24 $0.00
D2394 19 13 $0.00
D2740 Crown - porcelain/ceramic 23 15 $0.00
D9994 794 771 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 84 56 $0.00
D8670 Periodic orthodontic treatment visit 115 115 $0.00
D1206 Topical application of fluoride varnish 92 92 $0.00
D3120 82 47 $0.00