Medicaid Provider Spending

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

ADVANCED DENTAL CARE

NPI: 1356647374 · KENTON, OH 43326 · Dentist · NPI assigned 02/09/2011

$5K
Total Medicaid Paid
242
Total Claims
229
Beneficiaries
7
Codes Billed
2018-08
First Month
2019-11
Last Month

Provider Details

Authorized OfficialYAZDANI, NEDA (OWNER)
NPI Enumeration Date02/09/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $757.95
2019 185 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 45 44 $1K
D0150 Comprehensive oral evaluation - new or established patient 57 56 $1K
D0210 Intraoral - complete series of radiographic images 16 16 $900.00
D0120 Periodic oral evaluation - established patient 57 49 $768.60
D1208 Topical application of fluoride, excluding varnish 41 39 $465.00
D1120 Prophylaxis - child 13 12 $200.00
D0220 Intraoral - periapical first radiographic image 13 13 $65.00