Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › SCOTTSDALE › IRONWOOD PEDIATRIC DENTISTRY, PLLC

IRONWOOD PEDIATRIC DENTISTRY, PLLC

NPI: 1700506326 · SCOTTSDALE, AZ 85258 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/01/2022

$4K
Total Medicaid Paid
941
Total Claims
865
Beneficiaries
6
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIMMELSTEIN, BEN (CHIEF LEGAL OFFICER)
NPI Enumeration Date09/01/2022

Related Entities

Other providers sharing the same authorized official: HIMMELSTEIN, BEN

ProviderCityStateTotal Paid
DENTISTS OF PHOENIX, LLP PHOENIX AZ $93K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 25 $0.00
2023 464 $2K
2024 452 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 354 307 $1K
D1120 Prophylaxis - child 218 213 $1K
D0120 Periodic oral evaluation - established patient 187 170 $778.70
D0220 Intraoral - periapical first radiographic image 101 94 $266.23
D0272 Bitewings - two radiographic images 41 41 $255.45
D0230 Intraoral - periapical each additional radiographic image 40 40 $92.70