Medicaid Provider Spending

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

MILLER DDS OF BRIDGEWATER, PC

NPI: 1437489135 · BRIDGEWATER, VA 22812 · General Practice Dentistry · NPI assigned 01/04/2010

$21K
Total Medicaid Paid
1,107
Total Claims
1,025
Beneficiaries
12
Codes Billed
2019-09
First Month
2023-11
Last Month

Provider Details

Authorized OfficialMILLER, GLEN (DOCTOR/PRESIDENT)
NPI Enumeration Date01/04/2010

Related Entities

Other providers sharing the same authorized official: MILLER, GLEN

ProviderCityStateTotal Paid
COUNTY OF SAN LUIS OBISPO SAN LUIS OBISPO CA $3.28M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 180 $4K
2020 189 $4K
2021 515 $13K
2023 223 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 169 169 $6K
D1206 Topical application of fluoride varnish 258 258 $5K
D0150 Comprehensive oral evaluation - new or established patient 230 214 $5K
D0120 Periodic oral evaluation - established patient 65 65 $1K
D0210 Intraoral - complete series of radiographic images 112 78 $1K
D0220 Intraoral - periapical first radiographic image 110 99 $838.50
D0330 Panoramic radiographic image 45 38 $701.87
D0274 Bitewings - four radiographic images 24 24 $662.40
D1110 Prophylaxis - adult 26 26 $519.09
D0230 Intraoral - periapical each additional radiographic image 15 15 $167.70
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 29 15 $0.00
D0140 Limited oral evaluation - problem focused 24 24 $0.00