Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › COLUMBIA › CEDAR SMILES

CEDAR SMILES

NPI: 1659097954 · COLUMBIA, MD 21044 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/18/2022

$16K
Total Medicaid Paid
439
Total Claims
411
Beneficiaries
7
Codes Billed
2023-05
First Month
2023-12
Last Month

Provider Details

Authorized OfficialRAJAEI, ALIREZA (OWNER)
Parent OrganizationR3 DENTAL GROUP
NPI Enumeration Date10/18/2022

Related Entities

Other providers sharing the same authorized official: RAJAEI, ALIREZA

ProviderCityStateTotal Paid
R3 DENTAL GROUP LLC SILVER SPRING MD $8.18M
R3 DENTAL GROUP LLC HYATTSVILLE MD $6.41M
SEQUENCE ORTHODONTICS WALDORF MD $858K
R3 DENTAL GROUP LLC GERMANTOWN MD $762K
R3 DENTAL - CEDAR SMILES COLUMBIA MD $38K
CHESAPEAKE SMILES ODENTON MD $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 439 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 78 78 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 35 13 $5K
D1208 Topical application of fluoride, excluding varnish 89 89 $2K
D0274 Bitewings - four radiographic images 57 57 $1K
D0220 Intraoral - periapical first radiographic image 110 104 $1K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $732.42
D0230 Intraoral - periapical each additional radiographic image 57 57 $387.04