Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › BROCKTON › PREMIER DENTISTRY, LLC

PREMIER DENTISTRY, LLC

NPI: 1073200820 · BROCKTON, MA 02301 · General Practice Dentistry · NPI assigned 04/21/2023

$42K
Total Medicaid Paid
634
Total Claims
582
Beneficiaries
5
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEE, DANIEL (MANAGER)
NPI Enumeration Date04/21/2023

Related Entities

Other providers sharing the same authorized official: LEE, DANIEL

ProviderCityStateTotal Paid
HAPPY LIFE INC. FLUSHING NY $10.98M
COUNSELING ASSOCIATION OF LEXINGTON LEXINGTON KY $2.35M
TURLOCK EYE PHYSICIANS MEDICAL GROUP TURLOCK CA $102K
DANIEL LEE DDS INC BREA CA $33K
DANIEL W LEE MD PC OKLAHOMA CITY OK $11K
FOOTHILLS ORTHO & SPORTS MEDICINE PIEDMONT SC $7K
VASCULAR DISEASE CENTER PC TRENTON NJ $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 290 $19K
2024 344 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 136 119 $27K
D0120 Periodic oral evaluation - established patient 193 183 $5K
D1208 Topical application of fluoride, excluding varnish 226 209 $5K
D1120 Prophylaxis - child 52 46 $2K
D1110 Prophylaxis - adult 27 25 $2K