Medicaid Provider Spending

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

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA

NPI: 1770695033 · PLANTATION, FL 33324 · Pediatric Dentist · NPI assigned 08/31/2006

$14K
Total Medicaid Paid
1,048
Total Claims
1,046
Beneficiaries
10
Codes Billed
2022-07
First Month
2022-12
Last Month

Provider Details

Authorized OfficialPARRISH, MELODY (DIRECTOR OF OPERATIONS)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: PARRISH, MELODY

ProviderCityStateTotal Paid
MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON WELLINGTON FL $345K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,048 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 131 131 $8K
D1110 Prophylaxis - adult 76 76 $6K
D0120 Periodic oral evaluation - established patient 192 192 $58.25
D0230 Intraoral - periapical each additional radiographic image 127 127 $0.00
D1208 Topical application of fluoride, excluding varnish 103 103 $0.00
D1330 12 12 $0.00
D0272 Bitewings - two radiographic images 121 121 $0.00
D1206 Topical application of fluoride varnish 113 113 $0.00
D0274 Bitewings - four radiographic images 38 38 $0.00
D0220 Intraoral - periapical first radiographic image 135 133 $0.00