Medicaid Provider Spending

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

ALL FAMILY DENTAL CARE,INC

NPI: 1518020668 · SKIPPACK, PA 19474 · Dentist · NPI assigned 12/19/2006

$27K
Total Medicaid Paid
1,446
Total Claims
1,446
Beneficiaries
8
Codes Billed
2021-02
First Month
2021-11
Last Month

Provider Details

Authorized OfficialDESHMANE, JYOTI (OWNER DENTIST)
NPI Enumeration Date12/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,446 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 302 302 $10K
D0120 Periodic oral evaluation - established patient 344 344 $7K
D0274 Bitewings - four radiographic images 222 222 $6K
D0220 Intraoral - periapical first radiographic image 260 260 $2K
D0230 Intraoral - periapical each additional radiographic image 238 238 $2K
D1208 Topical application of fluoride, excluding varnish 14 14 $238.23
D0601 25 25 $210.00
D1330 41 41 $175.00