Medicaid Provider Spending

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

TJ AMEREDES, DDS, PLLC

NPI: 1679943385 · WHEELING, WV 26003 · General Practice Dentistry · NPI assigned 10/07/2015

$2K
Total Medicaid Paid
63
Total Claims
55
Beneficiaries
3
Codes Billed
2019-07
First Month
2020-06
Last Month

Provider Details

Authorized OfficialAMEREDES, TJ (OWNER/DENTIST)
NPI Enumeration Date10/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 39 $880.00
2020 24 $626.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 36 30 $638.30
D1120 Prophylaxis - child 15 13 $520.00
D0120 Periodic oral evaluation - established patient 12 12 $347.93