Medicaid Provider Spending

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

MEDVED D.D.S. - GARDNER D.D.S. PICKAWAY DENTAL GROUP LLC

NPI: 1477887958 · CIRCLEVILLE, OH 43113 · General Practice Dentistry · NPI assigned 09/30/2009

$434.90
Total Medicaid Paid
64
Total Claims
44
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialGARDNER, ROBERT (PARTNER/MEMBER)
NPI Enumeration Date09/30/2009

Related Entities

Other providers sharing the same authorized official: GARDNER, ROBERT

ProviderCityStateTotal Paid
LUCERNE COMMUNITY CLINIC LUCERNE CA $1.25M
NEUROLOGIC ASSOCIATES OF CAPE GIRARDEAU, INC CAPE GIRARDEAU MO $258K
POG DENTISTRY & ASSOCIATES COLUMBUS OH $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64 $434.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 14 12 $234.15
D0230 Intraoral - periapical each additional radiographic image 31 15 $118.00
D0220 Intraoral - periapical first radiographic image 19 17 $82.75