Medicaid Provider Spending

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

DENTAL ASSOCIATES OF GREATER MARYLAND

NPI: 1710227863 · TEMPLE HILLS, MD 20748 · Dental Clinic/Center · NPI assigned 02/27/2013

$19K
Total Medicaid Paid
558
Total Claims
553
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialPARK, STANLEY (CO-OWNER)
NPI Enumeration Date02/27/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 203 $6K
2019 112 $3K
2020 70 $2K
2021 12 $299.04
2022 49 $1K
2023 112 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 244 241 $6K
D1120 Prophylaxis - child 80 80 $3K
D0150 Comprehensive oral evaluation - new or established patient 55 55 $3K
D0120 Periodic oral evaluation - established patient 98 97 $3K
D1110 Prophylaxis - adult 30 30 $2K
D0210 Intraoral - complete series of radiographic images 25 25 $1K
D0274 Bitewings - four radiographic images 12 12 $264.00
D1330 14 13 $84.00