Medicaid Provider Spending

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

FAMILY DENTISTRY OF FAIRFAX, P. C.

NPI: 1679727275 · FAIRFAX, VA 22030 · General Practice Dentistry · NPI assigned 11/09/2008

$47K
Total Medicaid Paid
2,667
Total Claims
2,394
Beneficiaries
9
Codes Billed
2019-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialBUTT, TEHREEM (DENTIST)
NPI Enumeration Date11/09/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 76 $794.17
2020 353 $3K
2021 350 $10K
2022 449 $19K
2023 873 $14K
2024 566 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 692 686 $22K
D0120 Periodic oral evaluation - established patient 663 637 $8K
D0150 Comprehensive oral evaluation - new or established patient 188 188 $6K
D0274 Bitewings - four radiographic images 246 246 $4K
D0230 Intraoral - periapical each additional radiographic image 415 225 $2K
D0220 Intraoral - periapical first radiographic image 381 332 $2K
D0210 Intraoral - complete series of radiographic images 42 40 $2K
D0272 Bitewings - two radiographic images 28 28 $544.05
D1208 Topical application of fluoride, excluding varnish 12 12 $249.48