Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › NORTH CHESTERFIELD › MODERN DENTISTRY

MODERN DENTISTRY

NPI: 1538865712 · NORTH CHESTERFIELD, VA 23235 · General Practice Dentistry · NPI assigned 01/31/2023

$933.61
Total Medicaid Paid
147
Total Claims
142
Beneficiaries
3
Codes Billed
2023-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialESTRADA, KATHERINE (MANAGER)
NPI Enumeration Date01/31/2023

Related Entities

Other providers sharing the same authorized official: ESTRADA, KATHERINE

ProviderCityStateTotal Paid
DENTISTS ON GROVE AVENUE PC RICHMOND VA $14K
MOVAK PC HAYMARKET VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 109 $933.61
2024 38 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 89 84 $933.61
D1110 Prophylaxis - adult 18 18 $0.00
D0150 Comprehensive oral evaluation - new or established patient 40 40 $0.00