Medicaid Provider Spending

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

PERFECT SMILE DENTAL GROUP PC

NPI: 1689033151 · PITTSBURGH, PA 15221 · General Practice Dentistry · NPI assigned 02/12/2016

$29K
Total Medicaid Paid
905
Total Claims
627
Beneficiaries
10
Codes Billed
2020-09
First Month
2021-01
Last Month

Provider Details

Authorized OfficialCHENG, PENG (OWNER/DENTIST)
Parent OrganizationPERFECT SMILE DENTAL GROUP PC
NPI Enumeration Date02/12/2016

Related Entities

Other providers sharing the same authorized official: CHENG, PENG

ProviderCityStateTotal Paid
PERFECT SMILE DENTAL OF ALTOONA PC ALTOONA PA $416K
PERFECT SMILE DENTAL GROUP PC PITTSBURGH PA $318K
PERFECT SMILE DENTAL OF UNIONTOWN PC UNIONTOWN PA $194K
PERFECT SMILE DENTAL OF NEW KENSINGTON PC NEW KENSINGTON PA $127K
PERFECT SMILE DENTAL GROUP PC GREENSBURG PA $102K
PERFECT SMILE DENTAL PC ALTOONA PA $98K
PERFECT SMILE DENTAL OF SWISSVALE PC PITTSBURGH PA $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 777 $22K
2021 128 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 331 86 $19K
D0330 Panoramic radiographic image 75 69 $3K
D0274 Bitewings - four radiographic images 85 83 $2K
D1110 Prophylaxis - adult 59 59 $2K
D0150 Comprehensive oral evaluation - new or established patient 101 96 $2K
D1206 Topical application of fluoride varnish 27 25 $491.40
D9110 14 12 $324.90
D1999 161 146 $252.00
D0220 Intraoral - periapical first radiographic image 40 39 $234.20
D0120 Periodic oral evaluation - established patient 12 12 $157.40