Medicaid Provider Spending

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

OMNI DENTAL, LLC

NPI: 1629356209 · ALBUQUERQUE, NM 87110 · Dentist · NPI assigned 07/29/2011

$46K
Total Medicaid Paid
2,123
Total Claims
2,114
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCHANG, PE (CO-OWNER)
NPI Enumeration Date07/29/2011

Related Entities

Other providers sharing the same authorized official: CHANG, PE

ProviderCityStateTotal Paid
NORTH LIBERTY SMILES PLLC NORTH LIBERTY IA $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 365 $8K
2019 275 $6K
2020 317 $8K
2021 360 $7K
2022 360 $7K
2023 306 $6K
2024 140 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 710 710 $13K
D0150 Comprehensive oral evaluation - new or established patient 337 336 $12K
D0274 Bitewings - four radiographic images 258 258 $8K
D0220 Intraoral - periapical first radiographic image 386 385 $4K
D4346 26 26 $3K
D0230 Intraoral - periapical each additional radiographic image 314 307 $3K
D1120 Prophylaxis - child 92 92 $3K