Medicaid Provider Spending

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

DD LLC

NPI: 1770923534 · MARICOPA, AZ 85138 · General Practice Dentistry · NPI assigned 06/26/2013

$16K
Total Medicaid Paid
931
Total Claims
804
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialSEXTON, DANA (OFFICE MANAGER)
NPI Enumeration Date06/26/2013

Related Entities

Other providers sharing the same authorized official: SEXTON, DANA

ProviderCityStateTotal Paid
NMBFD LTD BOSQUE FARMS NM $129K
MOUNTAIN VIEW FAMILY DENTISTRY & ORTHODONTICS LLC RIO RANCHO NM $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 931 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 231 215 $3K
D1120 Prophylaxis - child 98 84 $3K
D0120 Periodic oral evaluation - established patient 139 130 $3K
D0220 Intraoral - periapical first radiographic image 192 158 $2K
D0140 Limited oral evaluation - problem focused 83 53 $1K
D0150 Comprehensive oral evaluation - new or established patient 50 39 $1K
D1110 Prophylaxis - adult 27 26 $998.69
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 33 28 $581.50
D0230 Intraoral - periapical each additional radiographic image 60 54 $502.21
D0274 Bitewings - four radiographic images 18 17 $476.09