Medicaid Provider Spending

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

NPI: 1356819981 · ALEXANDRIA, VA 22314 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/13/2018

$442.72
Total Medicaid Paid
37
Total Claims
37
Beneficiaries
2
Codes Billed
2023-03
First Month
2023-11
Last Month

Provider Details

Authorized OfficialKERMANSHI, SHIVA (OWNER)
NPI Enumeration Date11/13/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 37 $442.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 12 12 $324.36
D9994 25 25 $118.36