Medicaid Provider Spending

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

WYOMISSING DENTAL ASSOCIATES, P.C.

NPI: 1326318254 · WYOMISSING, PA 19610 · General Practice Dentistry · NPI assigned 01/10/2012

$4K
Total Medicaid Paid
152
Total Claims
151
Beneficiaries
3
Codes Billed
2018-04
First Month
2023-04
Last Month

Provider Details

Authorized OfficialGROVE, JEFFREY (PRESIDENT)
NPI Enumeration Date01/10/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60 $1K
2023 92 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 77 76 $2K
D1120 Prophylaxis - child 33 33 $1K
D0120 Periodic oral evaluation - established patient 42 42 $1K