Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › DOVER › DOVER PEDIATRIC DENTISTRY & ORTHODONTICS PLLC

DOVER PEDIATRIC DENTISTRY & ORTHODONTICS PLLC

NPI: 1780094763 · DOVER, NH 03820 · Pediatric Dentist · NPI assigned 04/30/2014

$6K
Total Medicaid Paid
214
Total Claims
214
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialWENDELL, GARY (DOCTOR / DENTIST)
NPI Enumeration Date04/30/2014

Related Entities

Other providers sharing the same authorized official: WENDELL, GARY

ProviderCityStateTotal Paid
PULMONARY CONSULTANTS INC. UPLAND PA $354K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 214 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 57 57 $2K
D0120 Periodic oral evaluation - established patient 72 72 $2K
D1208 Topical application of fluoride, excluding varnish 73 73 $1K
D0272 Bitewings - two radiographic images 12 12 $312.00