Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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D4210

Billing code D4210

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $3.42M on code D4210 from 2018 through 2024, to 19 providers — the #2,837 code in the file by dollars. 73% of it was billed in Massachusetts.

28Total paid$3.42M
24GClaims13,617
Paid per claim line$251.28
33Providers billing it19
Box 32 · Location

Where D4210 is billed

  1. MAMassachusetts
    $2.5M
  2. TNTennessee
    $228K
  3. NYNew York
    $215K
  4. DCDistrict of Columbia
    $176K
  5. MSMississippi
    $153K
  6. NJNew Jersey
    $93K
  7. DEDelaware
    $44K
  8. WAWashington
    $6.7K
  9. INIndiana
    $5.2K
  10. OROregon
    $2.0K

The largest of 10 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing D4210

#ProviderLocationClaimsPaid on D4210
1 Davis Square Dental Group Somerville, MA 6,282 $1.92M
2 Davis Square Dental Specialists LLC Lowell, MA 734 $234K
3 Olshin, Judith Brookville, NY 2,413 $212K
4 Department of Intellectual and Developmental Disabilities, State of TN Nashville, TN 309 $209K
5 The Braces Place Lawrence, MA 688 $208K
6 Sharmin Dental Clinic, P.C. Washington, DC 459 $160K
7 Laurel Surgery & Endoscopy Center, LLC Laurel, MS 407 $153K
8 Davis Square Dental Specialists LLC Lawrence, MA 444 $107K
9 Adaptive Dental Associates LLC Phillipsburg, NJ 990 $72K
10 Delaware Periodontics and Implants LLC Wilmington, DE 76 $44K
11 Davis Square Dental Specialists Lynn, MA 78 $25K
12 Ismile Dental Care PC Union, NJ 416 $21K
13 Department of Intellectual and Developmental Disabilities, State of TN Nashville, TN 29 $19K
14 Quality Plan Administrators, INC Washington, DC 56 $15K
15 Mc-Nspk LLC Spokane, WA 80 $7K
16 Sitaram Investments, LLC Indianapolis, IN 50 $5K
17 Baghaei, Mahnaz New York, NY 76 $3K
18 Scott Andrews DMD LLC Mount Angel, OR 14 $2K
19 Lynn Community Health, INC. Lynn, MA 16 $0.00