Medicaid Provider Spending

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

PEDIATRIC DENTISTRY OF CENTRAL GA, PC

NPI: 1922420074 · WARNER ROBINS, GA 31088 · Pediatric Dentist · NPI assigned 01/08/2014

$640.62
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2019-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialMOORE, MARGARET (CEO)
NPI Enumeration Date01/08/2014

Related Entities

Other providers sharing the same authorized official: MOORE, MARGARET

ProviderCityStateTotal Paid
CAROLINA NURSING SERVICES ROCKY MOUNT NC $2.32M
EXPERIENCING MOORE, PC OWATONNA MN $1.07M
ENGLAND SCHOOL DISTRICT ENGLAND AR $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $640.62

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 13 $427.68
D1206 Topical application of fluoride varnish 12 12 $212.94