Medicaid Provider Spending

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

HAMPTON ROADS FAMILY DENTAL PORTMOUTH LLC

NPI: 1346846045 · PORTSMOUTH, VA 23703 · General Practice Dentistry · NPI assigned 12/08/2020

$2K
Total Medicaid Paid
261
Total Claims
160
Beneficiaries
5
Codes Billed
2021-04
First Month
2021-06
Last Month

Provider Details

Authorized OfficialAMOAH, EMMANUEL (OWNER)
NPI Enumeration Date12/08/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 261 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 93 56 $720.07
D0274 Bitewings - four radiographic images 49 27 $690.00
D0150 Comprehensive oral evaluation - new or established patient 19 19 $438.34
D0330 Panoramic radiographic image 24 17 $215.96
D0220 Intraoral - periapical first radiographic image 76 41 $100.62