Medicaid Provider Spending

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

HILLGATE LLC

NPI: 1811431703 · BOWIE, MD 20716 · Dental Clinic/Center · NPI assigned 12/12/2016

$3K
Total Medicaid Paid
92
Total Claims
92
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-11
Last Month

Provider Details

Authorized OfficialDAVIDSON, ALPHONZO (OWNER)
NPI Enumeration Date12/12/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 92 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 36 36 $969.55
D1208 Topical application of fluoride, excluding varnish 43 43 $903.83
D1110 Prophylaxis - adult 13 13 $723.59