Medicaid Provider Spending

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

PERLEDENT DENTAL CARE PC

NPI: 1841529823 · HILLSBORO, OR 97006 · Dental Clinic/Center · NPI assigned 12/21/2009

$20K
Total Medicaid Paid
700
Total Claims
671
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialVAN, KYLE (PRESIDENT)
NPI Enumeration Date12/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 342 $11K
2019 358 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 233 233 $4K
D0120 Periodic oral evaluation - established patient 145 145 $4K
D0150 Comprehensive oral evaluation - new or established patient 103 102 $4K
D4341 38 13 $3K
D1110 Prophylaxis - adult 42 42 $2K
D0274 Bitewings - four radiographic images 44 44 $1K
D0220 Intraoral - periapical first radiographic image 82 79 $1K
D1120 Prophylaxis - child 13 13 $520.00