Medicaid Provider Spending

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

ALABAMA FAMILY DENTISTRY LLC

NPI: 1437582285 · SUMITON, AL 35148 · General Practice Dentistry · NPI assigned 08/15/2013

$10K
Total Medicaid Paid
916
Total Claims
666
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialMARKS, CONNIE (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/15/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 916 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 298 156 $2K
D1208 Topical application of fluoride, excluding varnish 155 129 $2K
D0220 Intraoral - periapical first radiographic image 227 178 $2K
D0120 Periodic oral evaluation - established patient 121 99 $2K
D1120 Prophylaxis - child 40 39 $1K
D1110 Prophylaxis - adult 35 26 $798.00
D0272 Bitewings - two radiographic images 40 39 $576.00