Medicaid Provider Spending

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

TODD C MILES LLC DBA DELANEY PARK DENTAL

NPI: 1528541752 · ANCHORAGE, AK 99501 · Pediatric Dentist · NPI assigned 09/13/2018

$5K
Total Medicaid Paid
156
Total Claims
130
Beneficiaries
3
Codes Billed
2020-10
First Month
2023-09
Last Month

Provider Details

Authorized OfficialGARRABRANT, STACIE (OFFICE MANAGER)
Parent OrganizationDELANEY PARK DENTAL
NPI Enumeration Date09/13/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $290.72
2021 66 $2K
2022 13 $316.37
2023 62 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 34 27 $2K
D0220 Intraoral - periapical first radiographic image 76 65 $1K
D1206 Topical application of fluoride varnish 46 38 $988.98