Medicaid Provider Spending

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

COLUMBIA PIKE FAMILY DENTISTRY

NPI: 1497029631 · ARLINGTON, VA 22204 · General Practice Dentistry · NPI assigned 03/06/2012

$11K
Total Medicaid Paid
589
Total Claims
589
Beneficiaries
5
Codes Billed
2018-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGOEL, SANJEEV (OWNER)
NPI Enumeration Date03/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45 $1K
2019 49 $1K
2021 70 $1K
2022 187 $5K
2023 167 $2K
2024 71 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 247 247 $4K
D1206 Topical application of fluoride varnish 238 238 $4K
D1110 Prophylaxis - adult 50 50 $1K
D1120 Prophylaxis - child 24 24 $804.48
D0274 Bitewings - four radiographic images 30 30 $441.60