Medicaid Provider Spending

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

AFFORDABLE DENTAL CARE

NPI: 1366522294 · COVINGTON, WA 98042 · Dentist · NPI assigned 10/16/2006

$18K
Total Medicaid Paid
1,062
Total Claims
885
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialLILLIE, BECKY (OPERATIONS MANAGER)
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: LILLIE, BECKY

ProviderCityStateTotal Paid
AFFORDABLE DENTAL CARE BELLEVUE WA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 219 $2K
2019 51 $692.27
2020 341 $4K
2021 451 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 150 68 $9K
D1999 212 152 $3K
D0120 Periodic oral evaluation - established patient 133 127 $3K
D0220 Intraoral - periapical first radiographic image 279 263 $2K
D0140 Limited oral evaluation - problem focused 64 63 $1K
D0274 Bitewings - four radiographic images 87 83 $841.59
D0150 Comprehensive oral evaluation - new or established patient 16 16 $450.24
D0230 Intraoral - periapical each additional radiographic image 121 113 $186.27