Medicaid Provider Spending

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

APPLE TREE DENTISTRY, PLLC

NPI: 1851730006 · MIDLOTHIAN, VA 23114 · Dental Clinic/Center · NPI assigned 06/20/2013

$70K
Total Medicaid Paid
2,032
Total Claims
1,981
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialLEE, SEHMI (MEMBER/VICE PRESIDENT)
NPI Enumeration Date06/20/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 740 $28K
2019 862 $31K
2020 224 $8K
2021 206 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 597 567 $40K
D9630 401 399 $8K
D1120 Prophylaxis - child 232 232 $8K
D1206 Topical application of fluoride varnish 370 370 $8K
D0120 Periodic oral evaluation - established patient 223 223 $4K
D1110 Prophylaxis - adult 13 13 $613.47
D9994 71 67 $587.88
D9992 71 67 $587.88
D0220 Intraoral - periapical first radiographic image 30 29 $335.40
D0230 Intraoral - periapical each additional radiographic image 24 14 $268.32