Medicaid Provider Spending

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

MIDLAND DENTAL LLC

NPI: 1801396593 · PORTLAND, OR 97233 · General Practice Dentistry · NPI assigned 02/19/2018

$55K
Total Medicaid Paid
760
Total Claims
744
Beneficiary Records
9
Codes Billed
2018-02
First Month
2018-09
Last Month

Provider Details

Authorized OfficialNOUREDINE, HADI (OWNER)
NPI Enumeration Date02/19/2018

Related Entities

Other providers sharing the same authorized official: NOUREDINE, HADI

ProviderCityStateTotal Paid
CHERRY DENTAL VANCOUVER WA $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 760 $55K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 221 219 $18K
D0210 Intraoral - complete series of radiographic images 136 134 $15K
D0140 Limited oral evaluation - problem focused 123 117 $9K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 40 40 $4K
D0220 Intraoral - periapical first radiographic image 117 113 $3K
D1120 Prophylaxis - child 38 38 $3K
D1208 Topical application of fluoride, excluding varnish 57 56 $2K
D0272 Bitewings - two radiographic images 13 13 $550.55
D0230 Intraoral - periapical each additional radiographic image 15 14 $314.60