Medicaid Provider Spending

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

610 DENTAL, P.C.

NPI: 1497052237 · STAFFORD, VA 22554 · General Practice Dentistry · NPI assigned 02/14/2011

$19K
Total Medicaid Paid
1,119
Total Claims
1,080
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMILES, ETHEL (PRESIDENT)
NPI Enumeration Date02/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $2K
2019 143 $4K
2020 37 $927.04
2021 25 $512.07
2022 236 $7K
2023 321 $4K
2024 246 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 248 242 $6K
D0120 Periodic oral evaluation - established patient 293 285 $4K
D1206 Topical application of fluoride varnish 203 203 $4K
D1120 Prophylaxis - child 40 40 $1K
D0274 Bitewings - four radiographic images 58 58 $1K
D9920 15 13 $1K
D0220 Intraoral - periapical first radiographic image 188 166 $1K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $488.40
D9630 33 33 $0.00
D0140 Limited oral evaluation - problem focused 27 26 $0.00