Medicaid Provider Spending

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

NPI: 1548297856 · CHAMBERSBURG, PA 17201 · General Practice Dentistry · NPI assigned 06/26/2006

$1K
Total Medicaid Paid
37
Total Claims
37
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialNICHOLS, MARK (HIPPA OFFICER/VICE PRESIDENT)
NPI Enumeration Date06/26/2006

Related Entities

Other providers sharing the same authorized official: NICHOLS, MARK

ProviderCityStateTotal Paid
BLACK PINE COUNSELING CENTER NEWPORT NEWS VA $43K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $456.00
2020 25 $859.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 24 24 $912.00
D1206 Topical application of fluoride varnish 13 13 $403.00