Medicaid Provider Spending

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

DIBOR DENTAL ASSOC INC

NPI: 1619955697 · PHILADELPHIA, PA 19144 · Dental Clinic/Center · NPI assigned 01/09/2006

$25K
Total Medicaid Paid
953
Total Claims
824
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIBOR, CHINYELU (DENTAL DIRECTOR)
NPI Enumeration Date01/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 953 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 322 286 $10K
D0120 Periodic oral evaluation - established patient 313 275 $6K
D7140 Extraction, erupted tooth or exposed root 65 29 $4K
D0210 Intraoral - complete series of radiographic images 73 63 $3K
D0274 Bitewings - four radiographic images 79 72 $2K
D0150 Comprehensive oral evaluation - new or established patient 59 58 $1K
D0220 Intraoral - periapical first radiographic image 42 41 $297.24