Medicaid Provider Spending

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

MAPLE DENTAL, LLC

NPI: 1801126602 · ZANESVILLE, OH 43701 · General Practice Dentistry · NPI assigned 12/30/2009

$12K
Total Medicaid Paid
698
Total Claims
608
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialMESZAROS, EVA (DENTIST)
NPI Enumeration Date12/30/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 185 $4K
2019 125 $2K
2020 193 $2K
2021 142 $3K
2022 53 $911.43

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 485 424 $7K
D1110 Prophylaxis - adult 108 88 $3K
D1208 Topical application of fluoride, excluding varnish 41 40 $630.00
D0274 Bitewings - four radiographic images 17 13 $273.00
D1999 47 43 $0.00