Medicaid Provider Spending

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

NPI: 1720314206 · ELDERSBURG, MD 21784 · Dentist · NPI assigned 10/19/2009

$33K
Total Medicaid Paid
1,181
Total Claims
1,149
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialDAVIS, RONALD (OWNER)
NPI Enumeration Date10/19/2009

Related Entities

Other providers sharing the same authorized official: DAVIS, RONALD

ProviderCityStateTotal Paid
COUNTY OF BLADEN OFFICE OF AUDITOR ELIZABETHTOWN NC $3.19M
REGENTS UNIV OF CALIF LOS ANGELES LOS ANGELES CA $52K
DAVIS OPHTHALMOLOGY, PLLC NORTH WILKESBORO NC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 454 $13K
2019 287 $7K
2020 151 $4K
2021 72 $2K
2022 107 $3K
2023 110 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 476 464 $11K
D0120 Periodic oral evaluation - established patient 322 313 $9K
D1110 Prophylaxis - adult 83 82 $5K
D1120 Prophylaxis - child 103 100 $4K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $1K
D0274 Bitewings - four radiographic images 58 56 $1K
D1330 113 108 $660.00