Medicaid Provider Spending

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

NPI: 1104100841 · BENNINGTON, VT 05201 · General Practice Dentistry · NPI assigned 09/29/2011

$81K
Total Medicaid Paid
2,457
Total Claims
2,217
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialCARMACK, TYLER (OWNER)
NPI Enumeration Date09/29/2011

Related Entities

Other providers sharing the same authorized official: CARMACK, TYLER

ProviderCityStateTotal Paid
SHAFTSBURY DENTAL CENTER PC SHAFTSBURY VT $336K
TACONIC DENTAL ARTS PC RUTLAND VT $87K
STRATTON DENTAL ARTS RUTLAND VT $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 853 $22K
2019 883 $32K
2020 469 $16K
2021 252 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 224 151 $27K
D1208 Topical application of fluoride, excluding varnish 978 910 $16K
D1110 Prophylaxis - adult 351 332 $15K
D0120 Periodic oral evaluation - established patient 433 403 $9K
D1120 Prophylaxis - child 285 254 $8K
D0274 Bitewings - four radiographic images 186 167 $5K