WE CARE MOBILE DENTAL LLC
NPI: 1811448863
· SAINT LOUIS, MO 63130
· General Practice Dentistry
· NPI assigned 10/14/2016
$355K
Total Medicaid Paid
Provider Details
| Authorized Official | TRAVIS, MICHAEL (DENTIST) |
| NPI Enumeration Date | 10/14/2016 |
Related Entities
Other providers sharing the same authorized official: TRAVIS, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,529 |
$168K |
| 2019 |
1,773 |
$52K |
| 2020 |
157 |
$8K |
| 2021 |
1,493 |
$68K |
| 2022 |
1,692 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
3,102 |
2,556 |
$181K |
| D1110 |
Prophylaxis - adult |
1,272 |
1,204 |
$36K |
| D0210 |
Intraoral - complete series of radiographic images |
977 |
907 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
850 |
800 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
915 |
873 |
$20K |
| D9996 |
|
1,484 |
1,353 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
948 |
905 |
$10K |
| D0274 |
Bitewings - four radiographic images |
506 |
482 |
$10K |
| D5120 |
|
13 |
13 |
$7K |
| D5110 |
|
12 |
12 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
189 |
174 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
248 |
136 |
$3K |
| D0272 |
Bitewings - two radiographic images |
73 |
64 |
$2K |
| D0350 |
|
849 |
779 |
$44.06 |
| D1206 |
Topical application of fluoride varnish |
206 |
188 |
$13.97 |