Medicaid Provider Spending

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

NORTON FAMILY DENTAL GROUP

NPI: 1083730428 · NORTON, MA 02766 · General Practice Dentistry · NPI assigned 03/21/2007

$4K
Total Medicaid Paid
239
Total Claims
226
Beneficiaries
5
Codes Billed
2018-08
First Month
2023-07
Last Month

Provider Details

Authorized OfficialSALLOUM, EYAD (OWNER)
NPI Enumeration Date03/21/2007

Related Entities

Other providers sharing the same authorized official: SALLOUM, EYAD

ProviderCityStateTotal Paid
ULTIMATE DENTAL CARE OF RANDOLPH , PC RANDOLPH MA $23K
RANDOLPH FAMILY DENTISTRY PC RANDOLPH MA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $976.00
2019 27 $686.00
2020 31 $0.00
2021 25 $511.88
2022 67 $2K
2023 63 $650.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 83 79 $2K
D1206 Topical application of fluoride varnish 80 79 $2K
D1120 Prophylaxis - child 12 12 $612.00
D1330 33 31 $0.00
D1999 31 25 $0.00