Medicaid Provider Spending

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

MCADORY DENTAL CENTER, LLC

NPI: 1912328527 · MC CALLA, AL 35111 · Dentist · NPI assigned 12/27/2013

$2K
Total Medicaid Paid
122
Total Claims
108
Beneficiaries
3
Codes Billed
2022-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialPATTERSON, SHELLEY (RECEPTIONIST)
NPI Enumeration Date12/27/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 75 $703.05
2023 47 $814.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 58 52 $736.00
D1110 Prophylaxis - adult 15 13 $423.50
D0220 Intraoral - periapical first radiographic image 49 43 $358.05