Medicaid Provider Spending

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

TREMONT ROAD DENTAL SUPER, P.C.

NPI: 1417242199 · CHRISTIANSBURG, VA 24073 · Endodontist · NPI assigned 06/10/2011

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

Authorized official JACOMINO, MICHELLE controls 20+ related entities in our dataset. Read more

$55K
Total Medicaid Paid
4,792
Total Claims
3,599
Beneficiaries
13
Codes Billed
2019-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialJACOMINO, MICHELLE (DIRECTOR OF PAYOR RELATIONS)
NPI Enumeration Date06/10/2011

Related Entities

Other providers sharing the same authorized official: JACOMINO, MICHELLE

ProviderCityStateTotal Paid
TREMONT ROAD DENTAL, PC NEWPORT NEWS VA $85.04M
TREMONT ROAD DENTAL SUPER, P.C. NORFOLK VA $63.58M
WOLCOTT STREET DENTAL-2, PC WATERBURY CT $21.04M
HATHAWAY ROAD DENTAL, PC SPRINGFIELD MA $18.79M
WOLCOTT STREET DENTAL-1, PC NEW BRITAIN CT $15.20M
HATHAWAY ROAD DENTAL, PC CHELSEA MA $10.26M
HATHAWAY ROAD DENTAL, PC ROXBURY MA $9.05M
HATHAWAY ROAD DENTAL, PC NEW BEDFORD MA $8.69M
HATHAWAY ROAD DENTAL, PC FALL RIVER MA $7.72M
HATHAWAY ROAD DENTAL, PC HOLYOKE MA $7.18M
HATHAWAY ROAD DENTAL, PC BROCKTON MA $6.08M
TREMONT ROAD DENTAL, PC DANVILLE VA $113K
TREMONT ROAD DENTAL, PC HAMPTON VA $76K
TREMONT ROAD DENTAL, PC NORFOLK VA $69K
TREMONT ROAD DENTAL, PC RICHMOND VA $66K
TREMONT ROAD DENTAL, PC VIRGINIA BEACH VA $66K
TREMONT ROAD DENTAL SUPER, P.C. RICHMOND VA $62K
TREMONT ROAD DENTAL, PC NORFOLK VA $61K
TREMONT ROAD DENTAL SUPER, P.C. PORTSMOUTH VA $56K
TREMONT ROAD DENTAL, PC ROANOKE VA $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,508 $39K
2020 1,278 $10K
2021 1,006 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 532 519 $18K
D0150 Comprehensive oral evaluation - new or established patient 288 279 $8K
D1110 Prophylaxis - adult 180 175 $8K
D0140 Limited oral evaluation - problem focused 545 528 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 815 268 $7K
D0274 Bitewings - four radiographic images 304 295 $3K
D0220 Intraoral - periapical first radiographic image 573 557 $887.04
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 275 261 $641.06
D7140 Extraction, erupted tooth or exposed root 112 29 $522.50
D0210 Intraoral - complete series of radiographic images 13 13 $503.37
D0270 45 43 $257.14
D0230 Intraoral - periapical each additional radiographic image 579 149 $11.18
D1999 531 483 $0.00