Medicaid Provider Spending

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

NIU DENTISTRY, LLC

NPI: 1801275052 · GLEN BURNIE, MD 21061 · Dental Clinic/Center · NPI assigned 05/20/2015

$65K
Total Medicaid Paid
1,949
Total Claims
1,906
Beneficiaries
10
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNIU, KATELYN (MEMBER)
NPI Enumeration Date05/20/2015

Related Entities

Other providers sharing the same authorized official: NIU, KATELYN

ProviderCityStateTotal Paid
NIU DENTISTRY TOWSON LLC TOWSON MD $235K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 90 $3K
2021 208 $7K
2022 118 $4K
2023 669 $23K
2024 864 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 287 285 $19K
D0140 Limited oral evaluation - problem focused 297 281 $14K
D1206 Topical application of fluoride varnish 360 359 $9K
D0150 Comprehensive oral evaluation - new or established patient 138 136 $7K
D0274 Bitewings - four radiographic images 159 159 $4K
D0220 Intraoral - periapical first radiographic image 329 309 $4K
D0120 Periodic oral evaluation - established patient 114 113 $3K
D0330 Panoramic radiographic image 70 70 $3K
D0230 Intraoral - periapical each additional radiographic image 166 165 $1K
D1330 29 29 $174.00