Medicaid Provider Spending

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

NPI: 1003263088 · DARTMOUTH, MA 02747 · Pediatric Dentist · NPI assigned 05/19/2016

$95K
Total Medicaid Paid
2,726
Total Claims
2,703
Beneficiaries
7
Codes Billed
2018-07
First Month
2020-08
Last Month

Provider Details

Authorized OfficialMURPHY, RAYMOND (OWNER)
Parent OrganizationCOMMONWEALTH PEDIATRIC DENTAL PC
NPI Enumeration Date05/19/2016

Related Entities

Other providers sharing the same authorized official: MURPHY, RAYMOND

ProviderCityStateTotal Paid
COMMONWEALTH PEDIATRIC DENTAL RAYNHAM MA $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 826 $29K
2019 1,599 $55K
2020 301 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 838 828 $40K
D1206 Topical application of fluoride varnish 952 944 $24K
D0120 Periodic oral evaluation - established patient 703 699 $20K
D9110 69 69 $5K
D0272 Bitewings - two radiographic images 133 132 $4K
D0150 Comprehensive oral evaluation - new or established patient 17 17 $986.00
D0220 Intraoral - periapical first radiographic image 14 14 $280.00