Medicaid Provider Spending

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

BEL AIR DENTAL HEALTH, LLC

NPI: 1295574051 · BEL AIR, MD 21015 · Dental Clinic/Center · NPI assigned 05/22/2024

$7K
Total Medicaid Paid
240
Total Claims
238
Beneficiaries
7
Codes Billed
2024-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKREISHEH, FADI (DENTIST OWNER)
NPI Enumeration Date05/22/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 240 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 51 51 $2K
D0150 Comprehensive oral evaluation - new or established patient 37 37 $2K
D1110 Prophylaxis - adult 14 14 $883.68
D0274 Bitewings - four radiographic images 30 30 $673.96
D0220 Intraoral - periapical first radiographic image 56 54 $638.28
D1206 Topical application of fluoride varnish 15 15 $377.35
D0230 Intraoral - periapical each additional radiographic image 37 37 $229.60