Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
MA
›
HANOVER
› HANOVER ENDODONTICS LLC
HANOVER ENDODONTICS LLC
NPI: 1043560451 · HANOVER, MA 02339 ·
Endodontist
· NPI assigned 09/12/2012
$12K
Total Medicaid Paid
361
Total Claims
351
Beneficiaries
3
Codes Billed
2019-01
First Month
2023-06
Last Month
Provider Details
Authorized Official
ALKHALIL, GHYATH
(PARTNER)
NPI Enumeration Date
09/12/2012
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
25
$728.00
2021
32
$1K
2022
146
$4K
2023
158
$6K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0140
Limited oral evaluation - problem focused
195
189
$8K
D0220
Intraoral - periapical first radiographic image
141
137
$3K
D0270
25
25
$408.00