Medicaid Provider Spending

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

KATZ FAMILY DENTAL LLC

NPI: 1013282698 · WEST HARTFORD, CT 06107 · General Practice Dentistry · NPI assigned 03/15/2012

$1K
Total Medicaid Paid
71
Total Claims
49
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialKATZ, PETER (OWNER)
NPI Enumeration Date03/15/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 59 37 $798.00
D1110 Prophylaxis - adult 12 12 $399.36