Medicaid Provider Spending

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

MORALES & HANGVAL DDS PLLC

NPI: 1417208869 · MANASSAS, VA 20109 · Dentist · NPI assigned 09/25/2012

$3K
Total Medicaid Paid
138
Total Claims
138
Beneficiaries
5
Codes Billed
2018-03
First Month
2018-10
Last Month

Provider Details

Authorized OfficialMCCAULEY, RICHARD (PRACTICE MANAGER)
NPI Enumeration Date09/25/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 138 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 60 60 $1K
D1206 Topical application of fluoride varnish 39 39 $810.81
D1110 Prophylaxis - adult 12 12 $566.28
D0274 Bitewings - four radiographic images 15 15 $414.00
D1120 Prophylaxis - child 12 12 $402.24