Medicaid Provider Spending

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

ATLANTIC HEALTH GROUP PC

NPI: 1427525484 · ANNANDALE, VA 22003 · Dentist · NPI assigned 10/29/2018

$42K
Total Medicaid Paid
666
Total Claims
608
Beneficiaries
8
Codes Billed
2021-07
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLE, KATHY (PRESIDENT)
NPI Enumeration Date10/29/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 337 $22K
2022 254 $20K
2023 51 $576.25
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 30 25 $24K
D2950 77 57 $8K
D0140 Limited oral evaluation - problem focused 220 215 $5K
D0220 Intraoral - periapical first radiographic image 275 250 $3K
D1110 Prophylaxis - adult 18 18 $849.42
D0274 Bitewings - four radiographic images 16 16 $441.60
D0150 Comprehensive oral evaluation - new or established patient 14 14 $438.34
D0230 Intraoral - periapical each additional radiographic image 16 13 $178.88