Medicaid Provider Spending

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

PEDIATRIC DENTAL ASSOC LTD

NPI: 1902961899 · SOUTHAMPTON, PA 18966 · Dentist · NPI assigned 12/22/2006

$44K
Total Medicaid Paid
2,490
Total Claims
2,446
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialROSENBAUM, MICHAEL (PARTNER)
Parent OrganizationPEDIATRIC DENTAL ASSOCIATES LTD
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: ROSENBAUM, MICHAEL

ProviderCityStateTotal Paid
PEDIATRIC DENTAL ASSOC LTD AMBLER PA $15K
PEDIATRIC DENTAL ASSOC LTD PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 908 $15K
2019 1,111 $20K
2020 151 $2K
2021 56 $839.65
2022 60 $1K
2023 204 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 441 434 $15K
D0120 577 566 $13K
D0272 326 319 $7K
D1206 291 285 $6K
D1208 91 90 $2K
D9230 12 12 $421.08
D0602 94 94 $0.00
D1330 612 601 $0.00
D0603 46 45 $0.00