Medicaid Provider Spending

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

STELLAR DENTISTRY, LLC

NPI: 1518728377 · REYNOLDSBURG, OH 43068 · General Practice Dentistry · NPI assigned 01/18/2024

$6K
Total Medicaid Paid
350
Total Claims
182
Beneficiaries
6
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAL HENNAWI, ZIAD (PRESIDENT)
NPI Enumeration Date01/18/2024

Related Entities

Other providers sharing the same authorized official: AL HENNAWI, ZIAD

ProviderCityStateTotal Paid
STELLAR DENTISTRY OF GAHANNA, LLC GAHANNA OH $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 350 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 32 30 $1K
D0230 Intraoral - periapical each additional radiographic image 186 28 $1K
D0274 Bitewings - four radiographic images 26 25 $1K
D1110 Prophylaxis - adult 13 13 $847.86
D0220 Intraoral - periapical first radiographic image 78 73 $747.08
D0350 15 13 $329.28