Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › ARDMORE › ARDMORE PEDIATRIC DENTAL ASSOCIATES PC

ARDMORE PEDIATRIC DENTAL ASSOCIATES PC

NPI: 1932556925 · ARDMORE, PA 19003 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/19/2016

$26K
Total Medicaid Paid
1,660
Total Claims
1,656
Beneficiaries
12
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOLDSLEGER, JAY (PRESIDENT)
NPI Enumeration Date05/19/2016

Related Entities

Other providers sharing the same authorized official: GOLDSLEGER, JAY

ProviderCityStateTotal Paid
UPPER MERION DENTAL ASSOCIATES P C KING OF PRUSSIA PA $4.06M
BETHLEHEM PEDIATRIC DENTAL ASSOCIATES BETHLEHEM PA $1.51M
BROOMALL PEDIATRIC DENTISTRY & ORTHODONTICS,P.C. HAVERTOWN PA $990K
POTTSTOWN PEDIATRIC DENTISTRY & ORTHODONTICS PC POTTSTOWN PA $578K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,660 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 235 235 $6K
D1206 Topical application of fluoride varnish 298 298 $6K
D0120 Periodic oral evaluation - established patient 218 218 $5K
D9920 47 45 $2K
D0272 Bitewings - two radiographic images 74 74 $1K
D1330 287 287 $1K
D1310 287 287 $1K
D0603 117 117 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 13 $565.86
D0601 56 56 $510.00
D1110 Prophylaxis - adult 12 12 $309.23
D0602 14 14 $140.00