Medicaid Provider Spending

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

ADVANCED DENTAL CARE OF FREDERICKSBURG

NPI: 1326303496 · FREDERICKSBURG, VA 22408 · Dentist · NPI assigned 07/05/2012

$38K
Total Medicaid Paid
1,998
Total Claims
1,633
Beneficiaries
11
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialARAFA, MOHAMED (DENTIST)
NPI Enumeration Date07/05/2012

Related Entities

Other providers sharing the same authorized official: ARAFA, MOHAMED

ProviderCityStateTotal Paid
MINERAL DENTAL CARE MINERAL VA $18K
ADVANCED DENTAL CARE OF STAFFORD STAFFORD VA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 975 $20K
2019 818 $14K
2020 205 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 363 274 $8K
D1110 Prophylaxis - adult 175 160 $7K
D0120 Periodic oral evaluation - established patient 299 289 $6K
D1206 Topical application of fluoride varnish 221 221 $5K
D1120 Prophylaxis - child 118 118 $4K
D0220 Intraoral - periapical first radiographic image 454 344 $4K
D0330 Panoramic radiographic image 84 53 $3K
D0230 Intraoral - periapical each additional radiographic image 180 86 $1K
D9630 41 39 $774.93
D0140 Limited oral evaluation - problem focused 37 24 $595.92
D0274 Bitewings - four radiographic images 26 25 $414.00