Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GOLDEN DENTAL ASSOCIATES, P.C.

NPI: 1891825741 · BURKE, VA 22015 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/07/2007

$8K
Total Medicaid Paid
321
Total Claims
321
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialHENNIGH, ROGER (PRESIDENT)
NPI Enumeration Date03/07/2007

Related Entities

Other providers sharing the same authorized official: HENNIGH, ROGER

ProviderCityStateTotal Paid
ALAN H. GOLDEN, D.D.S. & ROGER A. HENNIGH, D.M.D., P.C. WOODBRIDGE VA $791.68

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $3K
2019 222 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 96 96 $3K
D0120 Periodic oral evaluation - established patient 116 116 $2K
D1208 Topical application of fluoride, excluding varnish 109 109 $2K