Medicaid Provider Spending

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

STELLAR DENTISTRY OF GAHANNA, LLC

NPI: 1275383127 · GAHANNA, OH 43230 · General Practice Dentistry · NPI assigned 03/25/2024

$17K
Total Medicaid Paid
791
Total Claims
426
Beneficiaries
6
Codes Billed
2024-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAL HENNAWI, ZIAD (PRESIDENT)
NPI Enumeration Date03/25/2024

Related Entities

Other providers sharing the same authorized official: AL HENNAWI, ZIAD

ProviderCityStateTotal Paid
STELLAR DENTISTRY, LLC REYNOLDSBURG OH $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 791 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 72 72 $5K
D0230 Intraoral - periapical each additional radiographic image 446 84 $4K
D0150 Comprehensive oral evaluation - new or established patient 74 74 $4K
D0274 Bitewings - four radiographic images 52 52 $2K
D0220 Intraoral - periapical first radiographic image 119 116 $1K
D0350 28 28 $658.56