Medicaid Provider Spending

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

DYNAMIC DENTAL CARE, LLC

NPI: 1336812445 · ALLENTOWN, PA 18103 · General Practice Dentistry · NPI assigned 07/26/2021

$46K
Total Medicaid Paid
1,252
Total Claims
1,163
Beneficiaries
13
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKANANI, BHAUMIK (MENAGER)
NPI Enumeration Date07/26/2021

Related Entities

Other providers sharing the same authorized official: KANANI, BHAUMIK

ProviderCityStateTotal Paid
BETHLEHEM SMILE DESIGN LLC BETHLEHEM PA $1.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,252 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 251 211 $30K
D1110 Prophylaxis - adult 111 107 $4K
D0274 Bitewings - four radiographic images 128 123 $3K
D0330 Panoramic radiographic image 69 67 $2K
D0150 Comprehensive oral evaluation - new or established patient 69 67 $1K
D1320 83 68 $1K
D0120 Periodic oral evaluation - established patient 48 46 $931.42
D1310 155 150 $710.00
D1330 155 150 $710.00
D0220 Intraoral - periapical first radiographic image 73 68 $558.14
D1208 Topical application of fluoride, excluding varnish 28 27 $436.46
D0230 Intraoral - periapical each additional radiographic image 52 49 $391.71
D0603 30 30 $150.00