Medicaid Provider Spending

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

HAMPTON COVE PEDIATRIC DENTISTRY

NPI: 1720789845 · OWENS CROSS ROADS, AL 35763 · Pediatric Dentist · NPI assigned 03/15/2023

$4K
Total Medicaid Paid
132
Total Claims
131
Beneficiary Records
5
Codes Billed
2024-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAYER, MICHELLE (OWNER)
NPI Enumeration Date03/15/2023

Related Entities

Other providers sharing the same authorized official: MAYER, MICHELLE

ProviderCityStateTotal Paid
UNION COMMUNITY AMBULANCE DISTRICT UNION MO $1.67M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 132 $4K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 48 48 $2K
D1208 Topical application of fluoride, excluding varnish 40 40 $936.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $656.00
D0120 Periodic oral evaluation - established patient 15 15 $420.00
D0220 Intraoral - periapical first radiographic image 13 12 $208.00