Medicaid Provider Spending

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

DENTAL SERVICES SE VIRGINIA

NPI: 1770012163 · VIRGINIA BEACH, VA 23452 · Dental Clinic/Center · NPI assigned 06/08/2017

$54K
Total Medicaid Paid
1,735
Total Claims
1,570
Beneficiaries
8
Codes Billed
2021-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRICHARDS, CARTER (PRESIDENT)
NPI Enumeration Date06/08/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 459 $12K
2022 705 $33K
2023 351 $9K
2024 220 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9410 864 796 $40K
D0150 Comprehensive oral evaluation - new or established patient 256 189 $6K
D0120 Periodic oral evaluation - established patient 492 488 $6K
D1110 Prophylaxis - adult 29 29 $1K
D0140 Limited oral evaluation - problem focused 24 14 $322.79
D0230 Intraoral - periapical each additional radiographic image 28 13 $313.04
D0220 Intraoral - periapical first radiographic image 17 17 $178.88
D9440 25 24 $0.00