Medicaid Provider Spending

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

WHITE AND BRIGHT DENTAL CARE,LLC

NPI: 1437607165 · VERONA, NJ 07044 · Dentist · NPI assigned 09/11/2016

$22K
Total Medicaid Paid
1,852
Total Claims
1,695
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSOLIMAN, RAAFAT (OWNER)
NPI Enumeration Date09/11/2016

Related Entities

Other providers sharing the same authorized official: SOLIMAN, RAAFAT

ProviderCityStateTotal Paid
WHITE AND HEALTHY SMILE CENTER,LLC BAYONNE NJ $224K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 461 $7K
2019 77 $623.00
2020 127 $2K
2021 154 $1K
2022 335 $3K
2023 567 $6K
2024 131 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 238 238 $6K
D0140 Limited oral evaluation - problem focused 362 231 $5K
D1110 Prophylaxis - adult 159 159 $3K
D0150 Comprehensive oral evaluation - new or established patient 95 95 $2K
D0220 Intraoral - periapical first radiographic image 493 478 $2K
D0210 Intraoral - complete series of radiographic images 46 46 $1K
D0274 Bitewings - four radiographic images 105 104 $1K
D0230 Intraoral - periapical each additional radiographic image 325 315 $949.00
D1208 Topical application of fluoride, excluding varnish 29 29 $246.50