Medicaid Provider Spending

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

PDOM HAVRE DE GRACE

NPI: 1396000790 · HAVRE DE GRACE, MD 21078 · Dentist · NPI assigned 07/11/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$4.29M
Total Medicaid Paid
111,042
Total Claims
95,585
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (INSURANCE DIRECTOR)
NPI Enumeration Date07/11/2012

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K
DENTAL ONE ASSOCIATES (MANASSAS) P.C. MANASSAS VA $447.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,659 $299K
2019 10,730 $423K
2020 13,974 $595K
2021 21,312 $819K
2022 18,794 $658K
2023 19,015 $702K
2024 19,558 $791K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 9,076 8,290 $667K
D1120 Prophylaxis - child 14,967 14,760 $650K
D1206 Topical application of fluoride varnish 19,458 19,185 $479K
D0120 Periodic oral evaluation - established patient 16,092 15,869 $472K
D1351 Sealant - per tooth 13,160 2,299 $452K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,683 1,677 $318K
D1110 Prophylaxis - adult 3,331 3,278 $198K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,724 1,106 $162K
D0150 Comprehensive oral evaluation - new or established patient 2,358 2,322 $124K
D7140 Extraction, erupted tooth or exposed root 1,063 565 $112K
D8660 658 651 $98K
D0272 Bitewings - two radiographic images 6,410 6,329 $97K
D0330 Panoramic radiographic image 2,262 2,234 $96K
D2930 Prefabricated stainless steel crown - primary tooth 511 221 $82K
D0274 Bitewings - four radiographic images 3,360 3,308 $75K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,709 3,471 $67K
D1330 7,649 7,546 $47K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 36 36 $37K
D0140 Limited oral evaluation - problem focused 752 733 $33K
D0220 Intraoral - periapical first radiographic image 1,203 1,171 $11K
D3120 95 55 $3K
D0240 352 351 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 18 14 $3K
D1208 Topical application of fluoride, excluding varnish 43 43 $989.00
D0230 Intraoral - periapical each additional radiographic image 72 71 $762.00