Medicaid Provider Spending

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

FLORIDA PEDIATRIC DENTAL ASSOCIATES PLLC

NPI: 1427615608 · CLEARWATER, FL 33756 · Pediatric Dentist · NPI assigned 05/23/2019

$9K
Total Medicaid Paid
549
Total Claims
539
Beneficiaries
7
Codes Billed
2020-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialMCDOWELL, ERNEST (OWNER)
NPI Enumeration Date05/23/2019

Related Entities

Other providers sharing the same authorized official: MCDOWELL, ERNEST

ProviderCityStateTotal Paid
FLORIDA ORTHODONTIC ASSOCIATES,LLC CLEARWATER FL $984K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 549 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1330 132 132 $2K
D1206 Topical application of fluoride varnish 129 129 $2K
D1120 Prophylaxis - child 107 107 $2K
D0272 Bitewings - two radiographic images 72 72 $1K
D0240 29 19 $1K
D0150 Comprehensive oral evaluation - new or established patient 54 54 $740.23
D0120 Periodic oral evaluation - established patient 26 26 $202.14