Medicaid Provider Spending

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

GOOD VIBES DENTISTRY LLC

NPI: 1790485134 · MIDDLETOWN, DE 19709 · Dental Clinic/Center · NPI assigned 03/06/2023

$3K
Total Medicaid Paid
99
Total Claims
92
Beneficiaries
5
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialURAM, JACOB (OWNER)
NPI Enumeration Date03/06/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 99 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 31 30 $1K
D0150 Comprehensive oral evaluation - new or established patient 20 18 $1K
D0274 Bitewings - four radiographic images 17 15 $811.30
D0220 Intraoral - periapical first radiographic image 16 15 $420.90
D0230 Intraoral - periapical each additional radiographic image 15 14 $0.00