Medicaid Provider Spending

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

PDOM PERRIN PARKWAY LLC

NPI: 1861828576 · BALTIMORE, MD 21234 · Dentist · NPI assigned 09/26/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$677K
Total Medicaid Paid
20,829
Total Claims
19,953
Beneficiaries
20
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
NPI Enumeration Date09/26/2013

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 435 $15K
2021 2,384 $73K
2022 5,311 $156K
2023 6,022 $193K
2024 6,677 $240K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 4,214 4,145 $190K
D1206 Topical application of fluoride varnish 4,799 4,722 $119K
D0120 Periodic oral evaluation - established patient 3,159 3,116 $96K
D0150 Comprehensive oral evaluation - new or established patient 1,454 1,426 $77K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 226 148 $30K
D0330 Panoramic radiographic image 643 635 $28K
D0272 Bitewings - two radiographic images 1,583 1,555 $25K
D1351 Sealant - per tooth 451 68 $17K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 850 793 $16K
D1330 2,511 2,469 $16K
D1110 Prophylaxis - adult 258 252 $15K
D8670 Periodic orthodontic treatment visit 156 154 $12K
D7140 Extraction, erupted tooth or exposed root 65 39 $8K
D0140 Limited oral evaluation - problem focused 180 179 $8K
D2930 Prefabricated stainless steel crown - primary tooth 40 24 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 39 29 $4K
D8660 25 25 $4K
D0274 Bitewings - four radiographic images 132 130 $3K
D9310 12 12 $576.00
D0240 32 32 $288.00