Medicaid Provider Spending

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

YORKSHIRE DENTAL,PLLC

NPI: 1518511864 · YORK, PA 17402 · Dental Clinic/Center · NPI assigned 07/25/2019

$19K
Total Medicaid Paid
685
Total Claims
656
Beneficiaries
7
Codes Billed
2021-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBOMMU, ANUSHA (OWNER)
NPI Enumeration Date07/25/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 299 $8K
2024 386 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 242 231 $8K
D0120 Periodic oral evaluation - established patient 221 216 $5K
D1208 Topical application of fluoride, excluding varnish 80 80 $1K
D0274 Bitewings - four radiographic images 44 42 $1K
D1120 Prophylaxis - child 38 38 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 12 $1K
D0150 Comprehensive oral evaluation - new or established patient 38 37 $720.00