Medicaid Provider Spending

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

GREEN VALLEY DENTISTRY

NPI: 1619585353 · HENDERSON, NV 89012 · Dental Clinic/Center · NPI assigned 07/20/2020

$5K
Total Medicaid Paid
203
Total Claims
181
Beneficiaries
6
Codes Billed
2020-12
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSOARD, ZACHARY (PRESIDENT)
NPI Enumeration Date07/20/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 35 $621.64
2022 28 $432.12
2023 140 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 72 65 $2K
D0210 Intraoral - complete series of radiographic images 21 20 $1K
D0330 Panoramic radiographic image 32 28 $948.52
D0220 Intraoral - periapical first radiographic image 47 41 $392.00
D1110 Prophylaxis - adult 13 12 $305.00
D0230 Intraoral - periapical each additional radiographic image 18 15 $106.02