Medicaid Provider Spending

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

BLACK WARRIOR DENTAL CENTER

NPI: 1487084729 · TUSCALOOSA, AL 35404 · Dental Clinic/Center · NPI assigned 11/23/2013

$3K
Total Medicaid Paid
190
Total Claims
170
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialROWE, ADRIAN (DENTIST)
NPI Enumeration Date11/23/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 91 83 $1K
D1120 Prophylaxis - child 43 39 $868.00
D0150 Comprehensive oral evaluation - new or established patient 27 24 $374.00
D0330 Panoramic radiographic image 16 12 $231.00
D0120 Periodic oral evaluation - established patient 13 12 $216.00