Medicaid Provider Spending

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

PEDIATRIC DENTISTRY, LTD.

NPI: 1063545143 · CRANSTON, RI 02920 · Pediatric Dentist · NPI assigned 03/14/2007

$4K
Total Medicaid Paid
142
Total Claims
139
Beneficiaries
3
Codes Billed
2019-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialLASSER, STEVEN (PEDIATRIC DENTIST)
NPI Enumeration Date03/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $696.00
2022 80 $2K
2023 26 $888.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 53 52 $2K
D1208 Topical application of fluoride, excluding varnish 37 36 $780.00
D0120 Periodic oral evaluation - established patient 52 51 $754.00