Medicaid Provider Spending

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

REVERE DENTAL AND ORTHODONTICS PC

NPI: 1053180208 · REVERE, MA 02151 · Dentist · NPI assigned 12/29/2023

$11K
Total Medicaid Paid
238
Total Claims
229
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBANSAL, NEETU (OWNER)
NPI Enumeration Date12/29/2023

Related Entities

Other providers sharing the same authorized official: BANSAL, NEETU

ProviderCityStateTotal Paid
SALEM FAMILY DENTAL AND ORTHODONTICS PC SALEM MA $583K
BROCKTON DENTAL AND ORTHODONTICS PC BROCKTON MA $569K
EAST BOSTON DENTAL AND ORTHODONTICS PC EAST BOSTON MA $120K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 238 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 21 21 $5K
D0220 Intraoral - periapical first radiographic image 89 89 $2K
D0230 Intraoral - periapical each additional radiographic image 97 89 $2K
D9310 31 30 $2K