Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WATERTOWN › COMFORT DENTAL OF WATERTOWN LLC

COMFORT DENTAL OF WATERTOWN LLC

NPI: 1063836633 · WATERTOWN, MA 02472 · Dentist · NPI assigned 02/18/2014

$3K
Total Medicaid Paid
83
Total Claims
81
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialMOGHADDAM, SHAHRAM (OWNER)
NPI Enumeration Date02/18/2014

Related Entities

Other providers sharing the same authorized official: MOGHADDAM, SHAHRAM

ProviderCityStateTotal Paid
COMFORT DENTAL WEYMOUTH WEYMOUTH MA $357K
WEYMOUTH SMILES DENTAL WEYMOUTH MA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 55 53 $3K
D0274 Bitewings - four radiographic images 12 12 $370.00
D0220 Intraoral - periapical first radiographic image 16 16 $260.00