Medicaid Provider Spending

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

NPI: 1366507253 · AMBLER, PA 19002 · Dentist · NPI assigned 12/22/2006

$15K
Total Medicaid Paid
880
Total Claims
849
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialROSENBAUM, MICHAEL (PARTNER)
Parent OrganizationPEDIATRIC DENTAL ASSOCIATES
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: ROSENBAUM, MICHAEL

ProviderCityStateTotal Paid
PEDIATRIC DENTAL ASSOC LTD SOUTHAMPTON PA $44K
PEDIATRIC DENTAL ASSOC LTD PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 305 $5K
2019 520 $9K
2020 55 $846.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 219 212 $8K
D0120 Periodic oral evaluation - established patient 251 242 $6K
D1206 Topical application of fluoride varnish 29 29 $601.75
D0272 Bitewings - two radiographic images 30 26 $535.30
D1208 Topical application of fluoride, excluding varnish 15 15 $277.68
D1330 312 301 $0.00
D0603 24 24 $0.00