Medicaid Provider Spending

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

SANDERS WEDDELL PEDIATRIC DENTAL SPECIALISTS

NPI: 1417118969 · CARMEL, IN 46033 · Pediatric Dentist · NPI assigned 06/18/2008

$86K
Total Medicaid Paid
6,224
Total Claims
4,908
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSANDERS, BRIAN (OWNER)
NPI Enumeration Date06/18/2008

Related Entities

Other providers sharing the same authorized official: SANDERS, BRIAN

ProviderCityStateTotal Paid
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES INDIANAPOLIS IN $12.73M
SANDERS PEDIATRIC DENTISTRY LLC CARMEL IN $389K
SANDERS PODIATRY LLC BAKER CITY OR $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,670 $7K
2019 1,327 $28K
2020 987 $14K
2021 1,133 $20K
2022 748 $11K
2023 270 $5K
2024 89 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,953 1,645 $25K
D1206 Topical application of fluoride varnish 1,864 1,559 $22K
D1120 Prophylaxis - child 967 829 $17K
D1110 Prophylaxis - adult 722 595 $17K
D1351 Sealant - per tooth 498 121 $4K
D0220 Intraoral - periapical first radiographic image 82 64 $447.25
D0272 Bitewings - two radiographic images 15 13 $347.34
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13 13 $340.45
D1999 110 69 $5.00