Medicaid Provider Spending

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

FLORIDA SPECIAL CARE DENTISTRY

NPI: 1720192909 · TAMPA, FL 33606 · Dental Clinic/Center · NPI assigned 08/18/2006

$67K
Total Medicaid Paid
2,408
Total Claims
2,386
Beneficiaries
11
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOWLESS, ROBERT (DENTIS)
NPI Enumeration Date08/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 160 $5K
2022 624 $16K
2023 913 $30K
2024 711 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 447 443 $47K
D0120 Periodic oral evaluation - established patient 784 777 $10K
D9920 39 39 $3K
D1120 Prophylaxis - child 83 83 $3K
D1208 Topical application of fluoride, excluding varnish 758 749 $2K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $1K
D0274 Bitewings - four radiographic images 86 85 $419.99
D0220 Intraoral - periapical first radiographic image 12 12 $33.00
D1330 149 148 $0.00
D0272 Bitewings - two radiographic images 24 24 $0.00