Medicaid Provider Spending

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

MYDENTIST DENTAL CENTER

NPI: 1336441617 · RENTON, WA 98057 · Dental Clinic/Center · NPI assigned 11/19/2010

$8K
Total Medicaid Paid
399
Total Claims
398
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialPOLOTANU, ANTONELA (DENTIST)
NPI Enumeration Date11/19/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 336 $7K
2019 63 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 165 165 $4K
D1120 Prophylaxis - child 105 105 $2K
D1208 Topical application of fluoride, excluding varnish 117 116 $2K
D0272 Bitewings - two radiographic images 12 12 $113.19