Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › COLUMBIA › CEDAR SMILES DENTAL, LLC

CEDAR SMILES DENTAL, LLC

NPI: 1720562192 · COLUMBIA, MD 21044 · General Practice Dentistry · NPI assigned 09/20/2018

$256.10
Total Medicaid Paid
26
Total Claims
25
Beneficiaries
1
Codes Billed
2023-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialTUJJAR, OQBA (OWNER)
NPI Enumeration Date09/20/2018

Related Entities

Other providers sharing the same authorized official: TUJJAR, OQBA

ProviderCityStateTotal Paid
CHESAPEAKE SMILES, LLC ODENTON MD $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 26 $256.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 26 25 $256.10