Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › FREDERICKSBURG › VALLEY DENTAL CARE

VALLEY DENTAL CARE

NPI: 1467986034 · FREDERICKSBURG, VA 22406 · Dental Clinic/Center · NPI assigned 04/20/2017

$23K
Total Medicaid Paid
2,175
Total Claims
788
Beneficiaries
7
Codes Billed
2019-03
First Month
2020-02
Last Month

Provider Details

Authorized OfficialADEEB, AYMAN (OWNER)
NPI Enumeration Date04/20/2017

Related Entities

Other providers sharing the same authorized official: ADEEB, AYMAN

ProviderCityStateTotal Paid
VALLEY DENTAL CARE FRONT ROYAL VA $913K
WNCHESTER DENTAL CENTER WINCHESTER VA $581K
AYMAN K ADEEB DDS PC WINCHESTER VA $441K
SKYLINE DENTAL CARE FRONT ROYAL VA $390K
PLEASANT VALLEY DENTAL CARE PC WINCHESTER VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,452 $14K
2020 723 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,240 196 $7K
D0150 Comprehensive oral evaluation - new or established patient 352 217 $6K
D0330 Panoramic radiographic image 205 116 $6K
D0220 Intraoral - periapical first radiographic image 312 193 $2K
D1110 Prophylaxis - adult 21 21 $990.99
D1208 Topical application of fluoride, excluding varnish 27 27 $560.54
D0274 Bitewings - four radiographic images 18 18 $165.60