Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › QUIL CEDA VILLAGE › QUIL CEDA HAPPY DENTAL, INC

QUIL CEDA HAPPY DENTAL, INC

NPI: 1760919716 · QUIL CEDA VILLAGE, WA 98271 · General Practice Dentistry · NPI assigned 05/20/2017

$2K
Total Medicaid Paid
193
Total Claims
128
Beneficiaries
5
Codes Billed
2018-05
First Month
2019-07
Last Month

Provider Details

Authorized OfficialCHEN, CHRISTINE (OWNER DENTIST)
NPI Enumeration Date05/20/2017

Related Entities

Other providers sharing the same authorized official: CHEN, CHRISTINE

ProviderCityStateTotal Paid
KIDNEY SPECIALISTS OF NEW MEXICO, P.C. ALBUQUERQUE NM $249K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $937.63
2019 124 $781.35

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 37 24 $647.51
D0150 Comprehensive oral evaluation - new or established patient 14 12 $370.04
D1206 Topical application of fluoride varnish 30 27 $330.32
D0220 Intraoral - periapical first radiographic image 65 41 $313.84
D0230 Intraoral - periapical each additional radiographic image 47 24 $57.27