Medicaid Provider Spending

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

IVY 2 DENTAL, PLLC

NPI: 1841862265 · TUCSON, AZ 85711 · General Practice Dentistry · NPI assigned 07/14/2021

$9K
Total Medicaid Paid
1,038
Total Claims
964
Beneficiaries
12
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIMTIAZ, UMAR (ASSOCIATE PROVIDER)
Parent OrganizationIVY 2 DENTAL, PLLC
NPI Enumeration Date07/14/2021

Related Entities

Other providers sharing the same authorized official: IMTIAZ, UMAR

ProviderCityStateTotal Paid
IVY 2 DENTAL, PLLC BUCKEYE AZ $3.15M
IVY 2 DENTAL PLLC GLENDALE AZ $451K
IVY 2 DENTAL PLLC AVONDALE AZ $270K
IVY 2 DENTAL PLLC TUCSON AZ $261K
IVY 2 DENTAL PLLC GLENDALE AZ $156K
IVY 2 DENTAL PLLC PHOENIX AZ $137K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 256 $6K
2022 366 $3K
2024 416 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 101 101 $3K
D1120 Prophylaxis - child 182 182 $2K
D1208 Topical application of fluoride, excluding varnish 210 210 $1K
D1354 83 14 $796.40
D0220 Intraoral - periapical first radiographic image 139 137 $665.52
D0272 Bitewings - two radiographic images 65 65 $554.33
D0230 Intraoral - periapical each additional radiographic image 130 127 $531.67
D0330 Panoramic radiographic image 14 14 $328.52
D1310 25 25 $0.00
D0120 Periodic oral evaluation - established patient 55 55 $0.00
D0603 22 22 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $0.00