Medicaid Provider Spending

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

SPARK DENTAL VA, PLLC

NPI: 1710647433 · BRISTOL, VA 24202 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 12/21/2021

$22K
Total Medicaid Paid
332
Total Claims
326
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOINGS, CAROL (MGR)
NPI Enumeration Date12/21/2021

Related Entities

Other providers sharing the same authorized official: GOINGS, CAROL

ProviderCityStateTotal Paid
SPARK DENTAL TN, PLLC SMYRNA TN $33.72M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 332 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 252 248 $11K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 29 29 $10K
D8660 37 37 $829.56
D8680 14 12 $0.00