Medicaid Provider Spending

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

EMMITSBURG DENTAL CENTER, LLC

NPI: 1669170221 · EMMITSBURG, MD 21727 · Dental Clinic/Center · NPI assigned 02/22/2023

$26K
Total Medicaid Paid
223
Total Claims
191
Beneficiaries
6
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKNEDEISEN, CYNTHIA (RECEPTIONIST)
NPI Enumeration Date02/22/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 223 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2750 30 14 $15K
D0150 Comprehensive oral evaluation - new or established patient 49 49 $3K
D2950 27 13 $2K
D0210 Intraoral - complete series of radiographic images 40 40 $2K
D0140 Limited oral evaluation - problem focused 48 46 $2K
D1110 Prophylaxis - adult 29 29 $2K