Medicaid Provider Spending

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

CONVENIENT DENTAL

NPI: 1982816815 · BALTIMORE, MD 21244 · General Practice Dentistry · NPI assigned 05/04/2007

$98K
Total Medicaid Paid
2,959
Total Claims
2,223
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANGAMUTHU, VIJAYALAKSHMI (OWNER)
NPI Enumeration Date05/04/2007

Related Entities

Other providers sharing the same authorized official: ANGAMUTHU, VIJAYALAKSHMI

ProviderCityStateTotal Paid
ANGAMUTHU & ASSOCIATES, D.D.S., P.A. GAITHERSBURG MD $144K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,689 $54K
2019 750 $21K
2020 95 $3K
2021 50 $1K
2023 26 $1K
2024 349 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 799 105 $27K
D0150 Comprehensive oral evaluation - new or established patient 338 337 $18K
D1120 Prophylaxis - child 300 299 $13K
D1206 Topical application of fluoride varnish 357 357 $9K
D0120 Periodic oral evaluation - established patient 294 292 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 45 13 $5K
D1110 Prophylaxis - adult 83 83 $5K
D1208 Topical application of fluoride, excluding varnish 223 221 $5K
D0210 Intraoral - complete series of radiographic images 38 38 $2K
D1330 300 298 $2K
D0272 Bitewings - two radiographic images 116 114 $2K
D0274 Bitewings - four radiographic images 66 66 $1K