Medicaid Provider Spending

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

BROADWAY DENTISTRY, PC

NPI: 1386899821 · MERRILLVILLE, IN 46410 · General Practice Dentistry · NPI assigned 11/25/2008

$4K
Total Medicaid Paid
160
Total Claims
136
Beneficiaries
4
Codes Billed
2018-05
First Month
2019-08
Last Month

Provider Details

Authorized OfficialKENFIELD, MELISSA (OWNER)
NPI Enumeration Date11/25/2008

Related Entities

Other providers sharing the same authorized official: KENFIELD, MELISSA

ProviderCityStateTotal Paid
KENFIELD DENTAL GROUP LLC SPENCER IN $905K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47 $35.50
2019 113 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 61 55 $2K
D0120 Periodic oral evaluation - established patient 46 40 $776.68
D0150 Comprehensive oral evaluation - new or established patient 39 27 $688.70
D0274 Bitewings - four radiographic images 14 14 $524.03