Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTON DENTAL OF ARAB PC DBA SAVE-ON DENTAL CARE OF ARAB

NPI: 1497178503 · ARAB, AL 35016 · Endodontist · NPI assigned 01/24/2014

$7K
Total Medicaid Paid
523
Total Claims
404
Beneficiaries
7
Codes Billed
2018-02
First Month
2018-10
Last Month

Provider Details

Authorized OfficialDENTON, JONATHAN (DMD/OWNER)
NPI Enumeration Date01/24/2014

Related Entities

Other providers sharing the same authorized official: DENTON, JONATHAN

ProviderCityStateTotal Paid
AL DENTAL PROFESSIONALS PC ARAB AL $1.40M
DENTON DENTAL OF ATMORE PC DBA SAVE-ON DENTAL CARE OF ATMORE ATMORE AL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 523 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 111 85 $2K
D1206 Topical application of fluoride varnish 188 146 $2K
D0120 Periodic oral evaluation - established patient 110 91 $1K
D1110 Prophylaxis - adult 35 26 $700.00
D0272 Bitewings - two radiographic images 36 28 $432.00
D0274 Bitewings - four radiographic images 18 14 $312.00
D0150 Comprehensive oral evaluation - new or established patient 25 14 $264.00