Medicaid Provider Spending

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

A-ONE DENTISTRY

NPI: 1457588873 · DES MOINES, WA 98198 · Dental Clinic/Center · NPI assigned 06/11/2009

$19K
Total Medicaid Paid
1,686
Total Claims
1,436
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialBUTTAR, BALJINDER (PRESIDENT)
Parent OrganizationBUTTAR INC
NPI Enumeration Date06/11/2009

Related Entities

Other providers sharing the same authorized official: BUTTAR, BALJINDER

ProviderCityStateTotal Paid
BUTTAR INC. RENTON WA $252K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,686 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 249 248 $5K
D1208 Topical application of fluoride, excluding varnish 250 245 $4K
D1110 Prophylaxis - adult 80 77 $3K
D0220 Intraoral - periapical first radiographic image 360 341 $3K
D1120 Prophylaxis - child 111 110 $2K
D0230 Intraoral - periapical each additional radiographic image 505 289 $1K
D0140 Limited oral evaluation - problem focused 47 43 $826.28
D0272 Bitewings - two radiographic images 84 83 $770.56