Medicaid Provider Spending

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

HOUSATONIC VALLEY DENTAL CARE

NPI: 1023423399 · CANAAN, CT 06018 · Dental Clinic/Center · NPI assigned 06/25/2014

$5K
Total Medicaid Paid
134
Total Claims
125
Beneficiaries
3
Codes Billed
2018-02
First Month
2018-08
Last Month

Provider Details

Authorized OfficialDANNON, JOHN (PRESIDENT)
NPI Enumeration Date06/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 94 88 $4K
D1208 Topical application of fluoride, excluding varnish 27 24 $682.08
D0120 Periodic oral evaluation - established patient 13 13 $445.90