Medicaid Provider Spending

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

CHRISTIANA DENTAL ASSOCIATES, LLC

NPI: 1407170608 · NEWARK, DE 19713 · General Practice Dentistry · NPI assigned 03/17/2010

$35K
Total Medicaid Paid
1,567
Total Claims
1,466
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMEHTA, TARAL (PARTNER)
NPI Enumeration Date03/17/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 433 $10K
2019 501 $11K
2020 222 $4K
2021 261 $5K
2022 58 $2K
2023 92 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 540 506 $20K
D1120 Prophylaxis - child 244 227 $10K
D1110 Prophylaxis - adult 48 41 $3K
D1206 Topical application of fluoride varnish 64 61 $2K
D1208 Topical application of fluoride, excluding varnish 13 12 $332.30
D0601 645 606 $0.00
D0190 13 13 $0.00