Medicaid Provider Spending

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

1ST IMPRESSIONS DENTAL & DENTURE, PLLC

NPI: 1902011794 · SEATTLE, WA 98106 · Denturist · NPI assigned 05/14/2007

$21K
Total Medicaid Paid
1,400
Total Claims
1,179
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialNGO, QUOC (DENTURIST OWNER)
NPI Enumeration Date05/14/2007

Related Entities

Other providers sharing the same authorized official: NGO, QUOC

ProviderCityStateTotal Paid
SEE OPTOMETRIC DESIGNS INC MILPITAS CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,180 $18K
2019 220 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 228 198 $7K
D0150 Comprehensive oral evaluation - new or established patient 209 174 $4K
D0140 Limited oral evaluation - problem focused 212 174 $3K
D0220 Intraoral - periapical first radiographic image 399 329 $2K
D0210 Intraoral - complete series of radiographic images 67 62 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $950.45
D0120 Periodic oral evaluation - established patient 29 28 $625.67
D0230 Intraoral - periapical each additional radiographic image 222 189 $473.28
D0274 Bitewings - four radiographic images 13 13 $144.46