Medicaid Provider Spending

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

NPI: 1306325824 · GREENBELT, MD 20770 · Dentist · NPI assigned 08/07/2018

$339.64
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialEGHTESSAD, MICHAEL (OWNER)
NPI Enumeration Date08/07/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 14 $339.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 14 14 $339.64