Medicaid Provider Spending

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

NPI: 1790486827 · FAIRFAX, VA 22031 · Dental Clinic/Center · NPI assigned 03/15/2023

$2K
Total Medicaid Paid
338
Total Claims
321
Beneficiaries
8
Codes Billed
2023-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKALLAS, GEITH (OWNER)
NPI Enumeration Date03/15/2023

Related Entities

Other providers sharing the same authorized official: KALLAS, GEITH

ProviderCityStateTotal Paid
DKDC ORTHODONTICS PLLC VIENNA VA $85K
WOODBRIDGE DENTAL GROUP PLLC WOODBRIDGE VA $2K
BAILEY'S CROSSROADS DENTAL GROUP PLLC FALLS CHURCH VA $0.00
FALLS CHURCH DENTAL GROUP PLLC FALLS CHURCH VA $0.00
LEESBURG DENTAL GROUP PLLC LEESBURG VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 277 $2K
2024 61 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 94 77 $2K
D1120 Prophylaxis - child 54 54 $0.00
D0274 Bitewings - four radiographic images 14 14 $0.00
D1110 Prophylaxis - adult 14 14 $0.00
D9610 12 12 $0.00
D0120 Periodic oral evaluation - established patient 78 78 $0.00
D1208 Topical application of fluoride, excluding varnish 59 59 $0.00
D0140 Limited oral evaluation - problem focused 13 13 $0.00