Medicaid Provider Spending

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

NPI: 1821377755 · OXON HILL, MD 20745 · General Practice Dentistry · NPI assigned 08/09/2011

$8K
Total Medicaid Paid
217
Total Claims
214
Beneficiaries
3
Codes Billed
2019-10
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBEREDED, DEREJE (MANAGER)
NPI Enumeration Date08/09/2011

Related Entities

Other providers sharing the same authorized official: BEREDED, DEREJE

ProviderCityStateTotal Paid
BEREDED DENTAL PC CAPITOL HEIGHTS MD $1.37M
GOOD HOPE FAMILY DENTAL WASHINGTON DC $714K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 24 $1K
2020 141 $6K
2021 12 $305.00
2023 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 66 65 $4K
D1208 Topical application of fluoride, excluding varnish 111 110 $3K
D0120 Periodic oral evaluation - established patient 40 39 $1K