Medicaid Provider Spending

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

AMDENT LTD

NPI: 1558446146 · WYOMISSING, PA 19610 · General Practice Dentistry · NPI assigned 10/25/2006

$2K
Total Medicaid Paid
77
Total Claims
77
Beneficiaries
4
Codes Billed
2018-03
First Month
2019-02
Last Month

Provider Details

Authorized OfficialPETERS, SHANNNON (OPERATIONS MANAGER)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50 $1K
2019 27 $912.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 27 27 $637.29
D1110 Prophylaxis - adult 12 12 $554.91
D1208 Topical application of fluoride, excluding varnish 25 25 $491.50
D0150 Comprehensive oral evaluation - new or established patient 13 13 $448.78