Medicaid Provider Spending

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

WESTMINSTER DENTAL

NPI: 1639812217 · WESTMINSTER, MD 21157 · Dental Clinic/Center · NPI assigned 04/20/2022

$15K
Total Medicaid Paid
469
Total Claims
444
Beneficiaries
7
Codes Billed
2022-07
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMIISTRY, MONIL (DOCTOR)
NPI Enumeration Date04/20/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 163 $6K
2023 260 $8K
2024 46 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 101 98 $5K
D1206 Topical application of fluoride varnish 167 155 $4K
D1110 Prophylaxis - adult 55 53 $3K
D0120 Periodic oral evaluation - established patient 95 88 $2K
D0274 Bitewings - four radiographic images 25 25 $601.75
D0220 Intraoral - periapical first radiographic image 14 13 $137.90
D1330 12 12 $72.00