Medicaid Provider Spending

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

HERO DENTAL OF WASHINGTON DC PC

NPI: 1679981005 · WASHINGTON, DC 20010 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/29/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official URBANOZO, SHAUN controls 20+ related entities in our dataset. Read more

$11.68M
Total Medicaid Paid
212,180
Total Claims
195,665
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialURBANOZO, SHAUN (CREDENTIALING MANAGER)
Parent OrganizationHERO DENTAL OF WASHINGTON DC PC
NPI Enumeration Date07/29/2014

Related Entities

Other providers sharing the same authorized official: URBANOZO, SHAUN

ProviderCityStateTotal Paid
MISNER DENTAL CORP HUNTINGTON PARK CA $21.95M
ACADEMY KIDS DENTAL CENTER PC COLORADO SPRINGS CO $20.71M
HERO DENTAL OF DENVER PC DENVER CO $20.64M
HERO DENTAL OF WASHINGTON DC PC WASHINGTON DC $19.23M
CAPTAIN SMILES OF GREELEY PC GREELEY CO $18.75M
TWIN LAKES DENTAL PA WICHITA KS $16.74M
MONTANO DDS DENTAL CENTER PC BALTIMORE MD $16.50M
HERO VISION OF GREELEY LLC GREELEY CO $15.43M
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS LANDOVER HILLS MD $14.45M
HERO DENTAL OF AURORA PC AURORA CO $13.98M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $13.58M
HERO DENTAL OF ALBUQUERQUE PC ALBUQUERQUE NM $13.55M
RONALD B MONTANO DDS PC BALTIMORE MD $12.21M
HERO VISION OF LONGMONT, LLC LONGMONT CO $11.88M
COUNTRY CLUB DENTAL PA TOPEKA KS $11.68M
R. MISNER DENTAL CORPORATION GLENDALE CA $10.86M
PARKLANE DENTAL PA WICHITA KS $10.35M
HERO DENTAL OF SPRINGS PC COLORADO SPRINGS CO $9.33M
PEDIATRIC DENTAL GROUP II, LLC TULSA OK $8.51M
HERO DENTAL OF SANTA FE PC SANTA FE NM $8.35M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,841 $2.68M
2019 51,583 $3.44M
2020 24,318 $1.40M
2021 18,717 $568K
2022 29,848 $1.21M
2023 27,653 $1.42M
2024 23,220 $962K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 967 930 $3.49M
D0120 Periodic oral evaluation - established patient 32,620 32,058 $1.05M
D1120 Prophylaxis - child 22,752 22,382 $987K
D1206 Topical application of fluoride varnish 34,857 34,255 $930K
D1110 Prophylaxis - adult 12,597 12,360 $877K
D0274 Bitewings - four radiographic images 15,647 15,312 $638K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,972 2,708 $562K
D0272 Bitewings - two radiographic images 13,778 13,578 $488K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,440 3,152 $484K
D1351 Sealant - per tooth 12,132 3,893 $431K
D2930 Prefabricated stainless steel crown - primary tooth 1,419 786 $385K
D0330 Panoramic radiographic image 4,749 4,652 $323K
D0150 Comprehensive oral evaluation - new or established patient 3,610 3,516 $245K
D0140 Limited oral evaluation - problem focused 3,130 3,048 $144K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,536 2,423 $107K
D9310 1,152 1,082 $90K
D0220 Intraoral - periapical first radiographic image 4,824 4,685 $84K
D8670 Periodic orthodontic treatment visit 9,435 9,297 $81K
D0340 1,132 1,069 $81K
D0470 1,193 1,127 $58K
D0350 1,112 1,052 $48K
D8680 126 103 $44K
D1208 Topical application of fluoride, excluding varnish 724 710 $17K
D8660 1,230 1,225 $8K
D0230 Intraoral - periapical each additional radiographic image 556 515 $8K
D7140 Extraction, erupted tooth or exposed root 69 54 $7K
D1330 4,416 4,175 $7K
D0210 Intraoral - complete series of radiographic images 59 59 $5K
D0145 Oral evaluation for a patient under three years of age 130 128 $5K
D0603 16,328 14,880 $7.47
D0602 57 57 $0.04
D1999 418 381 $0.02
D0601 13 13 $0.01