Medicaid Provider Spending

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

FRONT ROW PEDIATRIC DENTISTRY, LLC

NPI: 1619647443 · ELLICOTT CITY, MD 21042 · Pediatric Dentist · NPI assigned 09/14/2021

$24K
Total Medicaid Paid
691
Total Claims
691
Beneficiaries
5
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSELNICK, SANDRA (OWNER)
NPI Enumeration Date09/14/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 133 $5K
2024 558 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 221 221 $11K
D1206 Topical application of fluoride varnish 313 313 $8K
D0150 Comprehensive oral evaluation - new or established patient 51 51 $3K
D0120 Periodic oral evaluation - established patient 68 68 $2K
D1330 38 38 $273.60