Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › DECATUR › ANTHONY DENTAL SERVICES P.C.

ANTHONY DENTAL SERVICES P.C.

NPI: 1992934855 · DECATUR, AL 35603 · General Practice Dentistry · NPI assigned 07/13/2009

$3K
Total Medicaid Paid
149
Total Claims
148
Beneficiaries
4
Codes Billed
2018-10
First Month
2022-09
Last Month

Provider Details

Authorized OfficialANTHONY, JASSEN (PRESIDENT)
NPI Enumeration Date07/13/2009

Related Entities

Other providers sharing the same authorized official: ANTHONY, JASSEN

ProviderCityStateTotal Paid
ACCESS DENTAL CARE, LLC DECATUR AL $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $210.00
2020 29 $420.00
2021 70 $1K
2022 36 $768.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 50 50 $948.60
D1206 Topical application of fluoride varnish 38 38 $861.30
D1999 47 46 $564.00
D1208 Topical application of fluoride, excluding varnish 14 14 $210.00