Medicaid Provider Spending

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

KINDER PEDIATRIC DENTAL SPECIALIST, PLLC

NPI: 1972796605 · APACHE JUNCTION, AZ 85120 · Dental Clinic/Center · NPI assigned 08/27/2007

$5K
Total Medicaid Paid
379
Total Claims
195
Beneficiaries
4
Codes Billed
2019-07
First Month
2019-12
Last Month

Provider Details

Authorized OfficialDOVE, EDWARD (MEMBER)
NPI Enumeration Date08/27/2007

Related Entities

Other providers sharing the same authorized official: DOVE, EDWARD

ProviderCityStateTotal Paid
EDWARD E DOVE, DDS PC CHATSWORTH CA $1.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 379 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 225 44 $2K
D1120 Prophylaxis - child 48 47 $1K
D1208 Topical application of fluoride, excluding varnish 48 47 $795.24
D0220 Intraoral - periapical first radiographic image 58 57 $725.61