Medicaid Provider Spending

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

TRINITY DENTAL CARE, LLC

NPI: 1285082644 · BOWIE, MD 20715 · General Practice Dentistry · NPI assigned 05/26/2016

$1K
Total Medicaid Paid
30
Total Claims
29
Beneficiaries
2
Codes Billed
2019-06
First Month
2019-06
Last Month

Provider Details

Authorized OfficialWIREDU, ANGELA (DENTIST/OWNER)
NPI Enumeration Date05/26/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 17 16 $875.50
D1206 Topical application of fluoride varnish 13 13 $323.96