Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CONCORD CHILDREN'S DENTAL ASSOCIATES

NPI: 1033521455 · CONCORD, MA 01742 · Pediatric Dentist · NPI assigned 05/21/2014

$42K
Total Medicaid Paid
1,552
Total Claims
1,359
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWANG, MARK (PRESIDENT)
NPI Enumeration Date05/21/2014

Related Entities

Other providers sharing the same authorized official: WANG, MARK

ProviderCityStateTotal Paid
ADVANCED ENDODONTIC ASSOCIATES, PC PEABODY MA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 445 $13K
2019 393 $12K
2020 243 $7K
2021 126 $3K
2022 59 $2K
2023 286 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 618 534 $14K
D1120 Prophylaxis - child 219 206 $10K
D1206 Topical application of fluoride varnish 436 368 $9K
D1208 Topical application of fluoride, excluding varnish 202 181 $5K
D1110 Prophylaxis - adult 77 70 $5K