Medicaid Provider Spending

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

KIDS DENTAL 2 P.C.

NPI: 1528392891 · MESA, AZ 85204 · General Practice Dentistry · NPI assigned 09/19/2009

$94K
Total Medicaid Paid
4,780
Total Claims
4,512
Beneficiaries
10
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialAYOUB, GEORGE (DENTIST)
Parent OrganizationNBA DENTAL GROUP
NPI Enumeration Date09/19/2009

Related Entities

Other providers sharing the same authorized official: AYOUB, GEORGE

ProviderCityStateTotal Paid
CEDAR DENTAL GROUP, PC PHOENIX AZ $1.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 229 $4K
2019 206 $4K
2020 289 $4K
2021 676 $12K
2022 683 $14K
2023 1,637 $33K
2024 1,060 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 692 675 $26K
D1208 Topical application of fluoride, excluding varnish 931 913 $17K
D0120 Periodic oral evaluation - established patient 643 628 $17K
D0220 Intraoral - periapical first radiographic image 1,024 982 $13K
D0230 Intraoral - periapical each additional radiographic image 1,096 924 $11K
D0274 Bitewings - four radiographic images 151 151 $5K
D0272 Bitewings - two radiographic images 169 165 $3K
D0150 Comprehensive oral evaluation - new or established patient 36 36 $1K
D0330 Panoramic radiographic image 14 14 $224.63
D0603 24 24 $0.00