Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › YOUNGSTOWN › YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS

YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS

NPI: 1598894388 · YOUNGSTOWN, OH 44509 · General Practice Dentistry · NPI assigned 03/05/2007

$7K
Total Medicaid Paid
441
Total Claims
398
Beneficiaries
8
Codes Billed
2018-04
First Month
2018-07
Last Month

Provider Details

Authorized OfficialSTUMP, JENELL (MANAGER, L & C)
NPI Enumeration Date03/05/2007

Related Entities

Other providers sharing the same authorized official: STUMP, JENELL

ProviderCityStateTotal Paid
AKRON SMILES YOUTH DENTISTRY LLC MICHAEL CRITES, DDS AKRON OH $10.24M
THE INDIAN SPRINGS DENTAL CLINIC, LLC KANSAS CITY KS $1.94M
SMALL SMILES OF WICHITA, LLC WICHITA KS $576K
COMMUNITY CARE OF KENTUCKY INC. LOUISVILLE KY $576K
TOPEKA DENTAL CLINIC, LLC TOPEKA KS $235K
ADVANTAGE DENTAL ORAL HEALTH CENTER OF MASSACHUSETTS, PC WESTBOROUGH MA $143K
SAGER DENTAL PLLC TEXAS CITY TX $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 441 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 97 95 $2K
D0120 Periodic oral evaluation - established patient 105 103 $2K
D1208 Topical application of fluoride, excluding varnish 108 106 $2K
D1351 Sealant - per tooth 47 14 $1K
D1110 Prophylaxis - adult 13 13 $443.69
D0274 Bitewings - four radiographic images 15 15 $280.00
D0272 Bitewings - two radiographic images 38 36 $270.00
D0220 Intraoral - periapical first radiographic image 18 16 $70.00