Medicaid Provider Spending

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

DENTAL CENTER OF NORTHWEST OHIO

NPI: 1831315274 · TOLEDO, OH 43604 · General Practice Dentistry · NPI assigned 04/17/2007

$16K
Total Medicaid Paid
947
Total Claims
524
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialCREE, MELINDA (PRESIDENT)
NPI Enumeration Date04/17/2007

Related Entities

Other providers sharing the same authorized official: CREE, MELINDA

ProviderCityStateTotal Paid
DENTAL CENTER OF NORTHWEST OHIO TOLEDO OH $4.68M
DENTAL CENTER OF NORTHWEST OHIO TOLEDO OH $906K
DENTAL CENTEROF NORTHWEST OHIO FINDLAY OH $846K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 947 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 252 138 $4K
D1120 Prophylaxis - child 178 97 $4K
D0120 Periodic oral evaluation - established patient 176 99 $3K
D1110 Prophylaxis - adult 50 29 $2K
D0272 Bitewings - two radiographic images 131 72 $1K
D0274 Bitewings - four radiographic images 58 33 $1K
D0150 Comprehensive oral evaluation - new or established patient 30 16 $790.50
D0140 Limited oral evaluation - problem focused 26 13 $587.08
D0220 Intraoral - periapical first radiographic image 46 27 $210.00