Medicaid Provider Spending

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

MAINE ORAL HEALTH & WELLNESS

NPI: 1629803317 · CAMDEN, ME 04843 · Dental Clinic/Center · NPI assigned 09/03/2024

$4K
Total Medicaid Paid
143
Total Claims
64
Beneficiaries
4
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMYERS-FRENCH, KALA (PRESIDENT)
NPI Enumeration Date09/03/2024

Related Entities

Other providers sharing the same authorized official: MYERS-FRENCH, KALA

ProviderCityStateTotal Paid
BALANCED DENTAL HYGIENE SUITE CAMDEN ME $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 143 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1355 90 13 $2K
D1120 Prophylaxis - child 20 19 $1K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $864.11
D1206 Topical application of fluoride varnish 20 19 $505.02