Medicaid Provider Spending

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

CFD SOUTH MEADOWS LLC

NPI: 1912612326 · RENO, NV 89521 · General Practice Dentistry · NPI assigned 01/19/2023

$16K
Total Medicaid Paid
482
Total Claims
439
Beneficiaries
6
Codes Billed
2023-06
First Month
2023-11
Last Month

Provider Details

Authorized OfficialCHAMPAGNE, JASON (OWNER)
NPI Enumeration Date01/19/2023

Related Entities

Other providers sharing the same authorized official: CHAMPAGNE, JASON

ProviderCityStateTotal Paid
CPD SOUTH MEADOWS LLC RENO NV $847K
JASON CHAMPAGNE III PLLC RENO NV $269K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 482 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 160 143 $7K
D0150 Comprehensive oral evaluation - new or established patient 182 166 $5K
D0140 Limited oral evaluation - problem focused 42 41 $2K
D0220 Intraoral - periapical first radiographic image 60 56 $987.72
D1110 Prophylaxis - adult 22 20 $400.00
D0230 Intraoral - periapical each additional radiographic image 16 13 $131.78