Medicaid Provider Spending

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

COMFORTABLE DENTISTRY 4U LLC

NPI: 1679050942 · ALBUQUERQUE, NM 87112 · Dentist · NPI assigned 07/19/2018

$51K
Total Medicaid Paid
1,782
Total Claims
1,734
Beneficiaries
12
Codes Billed
2019-05
First Month
2022-06
Last Month

Provider Details

Authorized OfficialSCHLESINGER, CHARLES (COO)
NPI Enumeration Date07/19/2018

Related Entities

Other providers sharing the same authorized official: SCHLESINGER, CHARLES

ProviderCityStateTotal Paid
COMFORTABLE DENTISTRY 4U - RIO RANCHO, LLC RIO RANCHO NM $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 206 $6K
2020 76 $2K
2021 925 $26K
2022 575 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 433 433 $15K
D1110 Prophylaxis - adult 194 194 $9K
D4346 43 43 $5K
D0220 Intraoral - periapical first radiographic image 445 440 $5K
D0274 Bitewings - four radiographic images 137 137 $4K
D1208 Topical application of fluoride, excluding varnish 172 172 $3K
D0210 Intraoral - complete series of radiographic images 52 52 $3K
D0230 Intraoral - periapical each additional radiographic image 207 193 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 25 12 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 30 14 $2K
D1120 Prophylaxis - child 31 31 $986.84
D9110 13 13 $734.24