Medicaid Provider Spending

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

COMFORT DENTAL ASSOCIATES PC

NPI: 1629216049 · BURKE, VA 22015 · Dentist · NPI assigned 01/22/2009

$3K
Total Medicaid Paid
283
Total Claims
283
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialDEWITT, CINDY (OFFICE MANAGER)
NPI Enumeration Date01/22/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $566.28
2023 176 $2K
2024 95 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 152 152 $2K
D0120 Periodic oral evaluation - established patient 90 90 $655.00
D1208 Topical application of fluoride, excluding varnish 16 16 $0.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $0.00
D0210 Intraoral - complete series of radiographic images 12 12 $0.00