Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MATUS FAMILY DENTISTRY
NPI: 1073082707 · BERLIN, CT 06037 ·
Dental Clinic/Center
· NPI assigned 11/26/2018
$9K
Total Medicaid Paid
360
Total Claims
352
Beneficiaries
4
Codes Billed
2019-02
First Month
2020-08
Last Month
Provider Details
Authorized Official
MATUS, SAMANTHA
(OWNER)
NPI Enumeration Date
11/26/2018
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
329
$8K
2020
31
$898.80
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
187
183
$4K
D1110
Prophylaxis - adult
105
102
$2K
D1120
Prophylaxis - child
54
53
$2K
D0272
Bitewings - two radiographic images
14
14
$245.76