Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › PAWTUCKET › THE FAMILY DENTIST

THE FAMILY DENTIST

NPI: 1013164920 · PAWTUCKET, RI 02860 · Dentist · NPI assigned 08/21/2008

$2K
Total Medicaid Paid
114
Total Claims
104
Beneficiaries
4
Codes Billed
2021-02
First Month
2023-01
Last Month

Provider Details

Authorized OfficialWAGNER, MICHAEL (PRESIDENT)
NPI Enumeration Date08/21/2008

Related Entities

Other providers sharing the same authorized official: WAGNER, MICHAEL

ProviderCityStateTotal Paid
WAGNER FAMILY CHIROPRACTIC SC APPLETON WI $268K
WAGNER FAMILY CHIROPRACTIC CLINIC INC. URBANDALE IA $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 74 $1K
2022 26 $480.00
2023 14 $636.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 48 46 $2K
D0120 Periodic oral evaluation - established patient 34 33 $310.00
D0272 Bitewings - two radiographic images 13 13 $168.00
D0140 Limited oral evaluation - problem focused 19 12 $150.00