Medicaid Provider Spending

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

NPI: 1881900751 · COLUMBUS, OH 43229 · General Practice Dentistry · NPI assigned 08/30/2010

$17K
Total Medicaid Paid
784
Total Claims
775
Beneficiaries
7
Codes Billed
2019-08
First Month
2020-03
Last Month

Provider Details

Authorized OfficialGARDNER, ROBERT (PARTNER/MEMBER)
NPI Enumeration Date08/30/2010

Related Entities

Other providers sharing the same authorized official: GARDNER, ROBERT

ProviderCityStateTotal Paid
LUCERNE COMMUNITY CLINIC LUCERNE CA $1.25M
NEUROLOGIC ASSOCIATES OF CAPE GIRARDEAU, INC CAPE GIRARDEAU MO $258K
MEDVED D.D.S. - GARDNER D.D.S. PICKAWAY DENTAL GROUP LLC CIRCLEVILLE OH $434.90

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 559 $12K
2020 225 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 179 178 $6K
D0120 Periodic oral evaluation - established patient 253 252 $4K
D1208 Topical application of fluoride, excluding varnish 140 140 $2K
D0274 Bitewings - four radiographic images 84 83 $2K
D1120 Prophylaxis - child 81 81 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 31 25 $1K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $368.90