Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › PETERBOROUGH › MONADNOCK HEALTHY TEETH

MONADNOCK HEALTHY TEETH

NPI: 1023281599 · PETERBOROUGH, NH 03458 · Dentist · NPI assigned 04/07/2008

$31K
Total Medicaid Paid
1,177
Total Claims
581
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialSCHEINBLUM, RICHARD (CFO)
Parent OrganizationMONADNOCK COMMUNITY HOSPITAL
NPI Enumeration Date04/07/2008

Related Entities

Other providers sharing the same authorized official: SCHEINBLUM, RICHARD

ProviderCityStateTotal Paid
MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH $8.59M
MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH $2.18M
MONADNOCK COMMUNITY HOSPITAL ANTRIM NH $353K
MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH $166.72

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 556 $16K
2019 480 $12K
2020 141 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 728 151 $20K
D1120 Prophylaxis - child 153 146 $5K
D1206 Topical application of fluoride varnish 244 232 $4K
D1110 Prophylaxis - adult 52 52 $2K