Medicaid Provider Spending

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

CARROLL COUNTY PEDIATRIC DENTISTRY & ORTHODONTICS

NPI: 1336902097 · WESTMINSTER, MD 21157 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 02/05/2024

$56K
Total Medicaid Paid
1,439
Total Claims
1,405
Beneficiaries
11
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFESCHE, MARSHALL (OWNER)
NPI Enumeration Date02/05/2024

Related Entities

Other providers sharing the same authorized official: FESCHE, MARSHALL

ProviderCityStateTotal Paid
DENTAL ASSOCIATES, LLC FINKSBURG MD $34K
DENTAL ASSOCIATES L.L.C. WESTMINSTER MD $30K
CARROLL COUNTY DENTAL SPECIALISTS FINKSBURG MD $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,439 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 333 333 $16K
D0150 Comprehensive oral evaluation - new or established patient 213 213 $12K
D1206 Topical application of fluoride varnish 330 330 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 28 $6K
D7140 Extraction, erupted tooth or exposed root 34 25 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 148 137 $3K
D0272 Bitewings - two radiographic images 130 130 $2K
D0120 Periodic oral evaluation - established patient 39 39 $1K
D1330 140 140 $1K
D0330 Panoramic radiographic image 13 13 $597.35
D0240 17 17 $270.00