Medicaid Provider Spending

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

MEADOW DENTAL SERVICES, P.C.

NPI: 1477715290 · WASHINGTON, PA 15301 · Dentist · NPI assigned 07/02/2008

$8K
Total Medicaid Paid
332
Total Claims
321
Beneficiaries
5
Codes Billed
2021-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCDONOUGH, ERIC (OWNER)
NPI Enumeration Date07/02/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 131 $3K
2024 201 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 173 168 $4K
D1110 Prophylaxis - adult 92 87 $3K
D1206 Topical application of fluoride varnish 26 26 $444.96
D0272 Bitewings - two radiographic images 25 24 $400.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $320.00