Medicaid Provider Spending

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

DIGITAL DENTAL STUDIO LLC

NPI: 1366225310 · MONROE, OH 45050 · General Practice Dentistry · NPI assigned 08/15/2023

$3K
Total Medicaid Paid
69
Total Claims
69
Beneficiaries
5
Codes Billed
2024-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKHAN, AKHLAQ (DDS)
NPI Enumeration Date08/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 69 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 12 12 $1K
D1110 Prophylaxis - adult 15 15 $717.42
D0150 Comprehensive oral evaluation - new or established patient 12 12 $604.20
D0120 Periodic oral evaluation - established patient 17 17 $570.52
D1208 Topical application of fluoride, excluding varnish 13 13 $383.24