Medicaid Provider Spending

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

NPI: 1699318410 · MARTINSVILLE, VA 24112 · General Practice Dentistry · NPI assigned 10/24/2019

$3K
Total Medicaid Paid
114
Total Claims
114
Beneficiaries
4
Codes Billed
2019-10
First Month
2020-01
Last Month

Provider Details

Authorized OfficialTRAIL, KARA (DIRECTOR OF OPERATIONS)
Parent OrganizationANDREW HENRITZE DDS PLLC
NPI Enumeration Date10/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 102 $2K
2020 12 $238.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9630 43 43 $854.41
D1206 Topical application of fluoride varnish 33 33 $686.07
D1110 Prophylaxis - adult 12 12 $566.28
D0120 Periodic oral evaluation - established patient 26 26 $523.90