Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › NEW ORLEANS › EXCEPTIONAL DENTAL OF UPTOWN, LLC

EXCEPTIONAL DENTAL OF UPTOWN, LLC

NPI: 1538706015 · NEW ORLEANS, LA 70115 · General Practice Dentistry · NPI assigned 12/04/2019

$18K
Total Medicaid Paid
717
Total Claims
454
Beneficiaries
4
Codes Billed
2021-05
First Month
2022-07
Last Month

Provider Details

Authorized OfficialCOATS, SAMANTHA (INSURANCE CREDENTIALING MANAGER)
NPI Enumeration Date12/04/2019

Related Entities

Other providers sharing the same authorized official: COATS, SAMANTHA

ProviderCityStateTotal Paid
AFFORDABLE SMILES OF HAMMOND, LLC HAMMOND LA $213K
AFFORDABLE SMILES OF GRETNA, LLC GRETNA LA $208K
AFFORDABLE SMILES OF BATON ROUGE, LLC BATON ROUGE LA $191K
AFFORDABLE SMILES OF METAIRIE, LLC METAIRIE LA $131K
EXCEPTIONAL DENTAL OF WATSON, LLC DENHAM SPRINGS LA $81K
AFFORDABLE SMILES OF MANDEVILLE, LLC MANDEVILLE LA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 381 $11K
2022 336 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 338 217 $8K
D0210 Intraoral - complete series of radiographic images 300 184 $8K
D1110 Prophylaxis - adult 50 39 $2K
D0120 Periodic oral evaluation - established patient 29 14 $163.44