Medicaid Provider Spending

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

UNG, HA

NPI: 1871583401 · GAITHERSBURG, MD 20877 · General Practice Dentistry · NPI assigned 10/25/2005

$62K
Total Medicaid Paid
4,285
Total Claims
3,871
Beneficiaries
7
Codes Billed
2020-01
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,170 $16K
2021 1,505 $23K
2022 1,610 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,017 1,007 $32K
D0120 Periodic oral evaluation - established patient 903 888 $12K
D0274 Bitewings - four radiographic images 362 357 $7K
D0220 Intraoral - periapical first radiographic image 911 869 $5K
D0230 Intraoral - periapical each additional radiographic image 1,046 713 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $2K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $443.50