Medicaid Provider Spending

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

FAMILY DENTAL CENTER

NPI: 1538211172 · WILMINGTON, DE 19804 · Dentist · NPI assigned 01/16/2007

$4K
Total Medicaid Paid
154
Total Claims
153
Beneficiaries
6
Codes Billed
2018-04
First Month
2018-10
Last Month

Provider Details

Authorized OfficialJONES, H (PRESIDENT)
NPI Enumeration Date01/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 43 43 $1K
D0120 Periodic oral evaluation - established patient 28 27 $1K
D0274 Bitewings - four radiographic images 12 12 $684.84
D0220 Intraoral - periapical first radiographic image 13 13 $338.13
D0230 Intraoral - periapical each additional radiographic image 13 13 $291.07
D0601 45 45 $0.00