Medicaid Provider Spending

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

RESTON FAMILY DENTIST GROUP PLLC

NPI: 1265884423 · RESTON, VA 20191 · Periodontist · NPI assigned 07/12/2016

$14K
Total Medicaid Paid
522
Total Claims
452
Beneficiaries
8
Codes Billed
2018-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMIAMEE, ALI (PRESIDENT)
NPI Enumeration Date07/12/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18 $320.32
2019 27 $134.16
2020 51 $731.25
2022 188 $11K
2023 212 $2K
2024 26 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2950 47 24 $7K
D0120 Periodic oral evaluation - established patient 115 112 $2K
D1110 Prophylaxis - adult 25 25 $1K
D0220 Intraoral - periapical first radiographic image 229 194 $1K
D0150 Comprehensive oral evaluation - new or established patient 29 28 $1K
D0210 Intraoral - complete series of radiographic images 16 14 $881.59
D0140 Limited oral evaluation - problem focused 48 42 $739.96
D1206 Topical application of fluoride varnish 13 13 $270.27