Medicaid Provider Spending

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

PRIME DENTAL ASSOCIATES, LLC

NPI: 1952901704 · JENKINTOWN, PA 19046 · Dental Clinic/Center · NPI assigned 10/30/2020

$9K
Total Medicaid Paid
436
Total Claims
348
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIU, SHAOCHEN (DENTIST)
NPI Enumeration Date10/30/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 436 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 151 120 $4K
D0274 Bitewings - four radiographic images 156 123 $3K
D0120 Periodic oral evaluation - established patient 112 92 $2K
D0150 Comprehensive oral evaluation - new or established patient 17 13 $245.70