Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FALLS CHURCH
› TREMONT ROAD DENTAL SUPER, P.C.
TREMONT ROAD DENTAL SUPER, P.C.
NPI: 1366539959 · FALLS CHURCH, VA 22042 ·
1223E0200X
$21K
Total Medicaid Paid
1,520
Total Claims
1,516
Beneficiaries
8
Codes Billed
2019-05
First Month
2024-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
201
$2K
2020
328
$8K
2021
167
$348.88
2022
594
$4K
2023
139
$5K
2024
91
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
175
174
$8K
D1206
222
221
$6K
D0120
155
154
$5K
D0272
46
46
$2K
D0220
45
44
$696.96
D0230
13
13
$208.00
D8660
66
66
$0.00
D8670
798
798
$0.00