Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › LAKE STEVENS › AJ FAMILY DENTISTRY

AJ FAMILY DENTISTRY

NPI: 1750699377 · LAKE STEVENS, WA 98258 · Dental Clinic/Center · NPI assigned 09/16/2010

$2K
Total Medicaid Paid
156
Total Claims
141
Beneficiaries
4
Codes Billed
2018-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialTIEN, JOHNNY (PRESIDENT)
NPI Enumeration Date09/16/2010

Related Entities

Other providers sharing the same authorized official: TIEN, JOHNNY

ProviderCityStateTotal Paid
CARING FAMILY DENTISTRY MILL CREEK WA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $814.30
2019 49 $811.14
2020 14 $172.25
2024 13 $334.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 88 86 $1K
D1120 Prophylaxis - child 31 31 $689.40
D0220 Intraoral - periapical first radiographic image 12 12 $95.04
D0230 Intraoral - periapical each additional radiographic image 25 12 $59.25