Medicaid Provider Spending

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

HERO DENTAL OF WASHINGTON DC PC

NPI: 1578971909 · WASHINGTON, DC 20019 · General Practice Dentistry · NPI assigned 07/29/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$4.23M
Total Medicaid Paid
98,181
Total Claims
86,059
Beneficiaries
35
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialURBANOZO, SHAUN (CREDENTIALING MANAGER)
Parent OrganizationHERO DENTAL OF WASHINGTON DC PC
NPI Enumeration Date07/29/2014

Related Entities

Other providers sharing the same authorized official: URBANOZO, SHAUN

ProviderCityStateTotal Paid
MISNER DENTAL CORP HUNTINGTON PARK CA $21.95M
ACADEMY KIDS DENTAL CENTER PC COLORADO SPRINGS CO $20.71M
HERO DENTAL OF DENVER PC DENVER CO $20.64M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $19.23M
CAPTAIN SMILES OF GREELEY PC GREELEY CO $18.75M
TWIN LAKES DENTAL PA WICHITA KS $16.74M
MONTANO DDS DENTAL CENTER PC BALTIMORE MD $16.50M
HERO VISION OF GREELEY LLC GREELEY CO $15.43M
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS LANDOVER HILLS MD $14.45M
HERO DENTAL OF AURORA PC AURORA CO $13.98M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $13.58M
HERO DENTAL OF ALBUQUERQUE PC ALBUQUERQUE NM $13.55M
RONALD B MONTANO DDS PC BALTIMORE MD $12.21M
HERO VISION OF LONGMONT, LLC LONGMONT CO $11.88M
COUNTRY CLUB DENTAL PA TOPEKA KS $11.68M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $11.68M
R. MISNER DENTAL CORPORATION GLENDALE CA $10.86M
PARKLANE DENTAL PA WICHITA KS $10.35M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $9.33M
PEDIATRIC DENTAL GROUP II, LLC TULSA OK $8.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,664 $1.25M
2019 46,246 $2.03M
2020 22,732 $806K
2021 3,539 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 1,741 685 $480K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,220 2,022 $446K
D1120 Prophylaxis - child 9,452 9,211 $420K
D0120 Periodic oral evaluation - established patient 12,813 12,370 $413K
D1206 Topical application of fluoride varnish 11,890 11,531 $324K
D1110 Prophylaxis - adult 4,771 4,506 $319K
D1351 Sealant - per tooth 6,214 1,851 $214K
D0272 Bitewings - two radiographic images 5,654 5,501 $206K
D0330 Panoramic radiographic image 2,703 2,557 $184K
D0274 Bitewings - four radiographic images 4,566 4,333 $182K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,599 1,093 $166K
D0220 Intraoral - periapical first radiographic image 9,497 8,926 $158K
D0150 Comprehensive oral evaluation - new or established patient 2,091 1,962 $139K
D0140 Limited oral evaluation - problem focused 2,610 2,435 $114K
D0230 Intraoral - periapical each additional radiographic image 6,888 6,105 $103K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,474 1,400 $63K
D9310 486 475 $46K
D1208 Topical application of fluoride, excluding varnish 1,750 1,672 $41K
D0350 730 700 $40K
D2934 152 37 $39K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 231 168 $38K
D7140 Extraction, erupted tooth or exposed root 294 161 $30K
D0340 245 245 $20K
D0210 Intraoral - complete series of radiographic images 175 175 $14K
D0470 247 247 $12K
D0145 Oral evaluation for a patient under three years of age 188 184 $7K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 24 12 $3K
D0270 86 86 $2K
D1330 2,158 1,680 $1K
D9110 14 13 $921.00
D0603 2,930 2,540 $0.57
D0602 253 221 $0.01
D1999 293 270 $0.00
D0601 287 239 $0.00
D8670 Periodic orthodontic treatment visit 455 446 $0.00