Medicaid Provider Spending

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

NPI: 1922353663 · ELKTON, MD 21921 · Dentist · NPI assigned 07/18/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$4.44M
Total Medicaid Paid
124,135
Total Claims
112,779
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
NPI Enumeration Date07/18/2012

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K
DENTAL ONE ASSOCIATES (MANASSAS) P.C. MANASSAS VA $447.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,396 $453K
2019 15,564 $499K
2020 10,177 $307K
2021 16,044 $486K
2022 20,988 $794K
2023 21,450 $794K
2024 26,516 $1.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 21,807 21,436 $947K
D0120 Periodic oral evaluation - established patient 22,218 21,745 $646K
D1206 Topical application of fluoride varnish 26,067 25,606 $643K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,026 2,674 $500K
D1351 Sealant - per tooth 7,152 1,472 $257K
D2930 Prefabricated stainless steel crown - primary tooth 1,222 757 $203K
D7140 Extraction, erupted tooth or exposed root 1,545 892 $185K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,672 1,084 $160K
D1110 Prophylaxis - adult 2,543 2,489 $150K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 7,508 7,024 $141K
D0150 Comprehensive oral evaluation - new or established patient 2,540 2,513 $134K
D0272 Bitewings - two radiographic images 8,581 8,448 $131K
D0330 Panoramic radiographic image 1,983 1,947 $85K
D0140 Limited oral evaluation - problem focused 1,414 1,374 $64K
D1330 9,303 9,233 $58K
D8670 Periodic orthodontic treatment visit 638 435 $48K
D0274 Bitewings - four radiographic images 1,638 1,591 $36K
D3120 563 428 $19K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 89 61 $13K
D8660 73 73 $11K
D0220 Intraoral - periapical first radiographic image 979 954 $9K
D0240 205 204 $2K
D1208 Topical application of fluoride, excluding varnish 12 12 $276.00
D0602 357 327 $0.00