Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › KING GEORGE › PEDIATRIC DENTISTRY OF KING GEORGE

PEDIATRIC DENTISTRY OF KING GEORGE

NPI: 1659724185 · KING GEORGE, VA 22485 · Pediatric Dentist · NPI assigned 07/20/2016

$19K
Total Medicaid Paid
717
Total Claims
717
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialEDWARDS, JUSTIN (OWNER)
NPI Enumeration Date07/20/2016

Related Entities

Other providers sharing the same authorized official: EDWARDS, JUSTIN

ProviderCityStateTotal Paid
JUSTIN S EDWARDS DMD MSD PLC FREDERICKSBURG VA $1.17M
CITY OF UHRICHSVILLE UHRICHSVILLE OH $136K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 717 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 222 222 $7K
D1206 Topical application of fluoride varnish 267 267 $6K
D0150 Comprehensive oral evaluation - new or established patient 95 95 $3K
D0120 Periodic oral evaluation - established patient 87 87 $2K
D0274 Bitewings - four radiographic images 46 46 $1K