Medicaid Provider Spending

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

SPRING CREEK FAMILY DENTISTRY & ORTHODONTICS

NPI: 1881923654 · GORDONSVILLE, VA 22942 · Oral and Maxillofacial Pathology Dentist · NPI assigned 12/08/2009

$71K
Total Medicaid Paid
3,420
Total Claims
3,359
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCHISHOLM, BERNIE (PRACTICE ADMINISTRATOR)
NPI Enumeration Date12/08/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 161 $4K
2019 314 $7K
2020 420 $10K
2021 490 $12K
2022 896 $29K
2023 718 $9K
2024 421 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,313 1,308 $23K
D1120 Prophylaxis - child 734 733 $19K
D0120 Periodic oral evaluation - established patient 1,008 1,003 $15K
D1110 Prophylaxis - adult 84 84 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 30 13 $3K
D0150 Comprehensive oral evaluation - new or established patient 77 77 $2K
D0274 Bitewings - four radiographic images 86 86 $2K
D0210 Intraoral - complete series of radiographic images 37 31 $1K
D1351 Sealant - per tooth 39 12 $1K
D8670 Periodic orthodontic treatment visit 12 12 $0.00