Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › LONDON › FARMER PEDIATRIC DENTISTRY OF LONDON PSC

FARMER PEDIATRIC DENTISTRY OF LONDON PSC

NPI: 1770313454 · LONDON, KY 40741 · Pediatric Dentist · NPI assigned 08/06/2024

$2K
Total Medicaid Paid
102
Total Claims
70
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOSBORNE-ASHER, TAYLOR (OFFICE MANAGER)
NPI Enumeration Date08/06/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 102 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 65 46 $1K
D1120 Prophylaxis - child 13 12 $733.59
D1206 Topical application of fluoride varnish 24 12 $168.75