Medicaid Provider Spending

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

TOMODA DENTAL PLLC

NPI: 1437512498 · BLACKSBURG, VA 24060 · Dentist · NPI assigned 03/29/2016

$16K
Total Medicaid Paid
753
Total Claims
742
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialTOMODA, MATT (OWNER)
NPI Enumeration Date03/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 206 $5K
2019 120 $3K
2020 177 $3K
2021 164 $4K
2022 86 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 353 350 $7K
D1206 Topical application of fluoride varnish 288 284 $6K
D1120 Prophylaxis - child 88 84 $3K
D1110 Prophylaxis - adult 24 24 $1K