Medicaid Provider Spending

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

DEBONAIR DENTAL DC PLLC

NPI: 1952961492 · WASHINGTON, DC 20008 · Dentist · NPI assigned 06/17/2019

$36K
Total Medicaid Paid
1,046
Total Claims
996
Beneficiaries
8
Codes Billed
2020-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialCOLLINS, OTIS (COO)
NPI Enumeration Date06/17/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 238 $10K
2021 266 $8K
2022 180 $6K
2023 232 $8K
2024 130 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 335 318 $9K
D1110 Prophylaxis - adult 153 147 $9K
D0120 Periodic oral evaluation - established patient 306 291 $8K
D0140 Limited oral evaluation - problem focused 109 104 $5K
D9310 31 30 $3K
D0220 Intraoral - periapical first radiographic image 88 82 $1K
D0330 Panoramic radiographic image 12 12 $816.00
D0274 Bitewings - four radiographic images 12 12 $476.00