Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › HYANNIS › WINTER STREET DENTAL GROUP

WINTER STREET DENTAL GROUP

NPI: 1104243674 · HYANNIS, MA 02601 · Dental Clinic/Center · NPI assigned 03/24/2014

$35K
Total Medicaid Paid
1,036
Total Claims
1,008
Beneficiaries
5
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGHAZI, GHAZWAN (OWNER/PRESIDENT)
NPI Enumeration Date03/24/2014

Related Entities

Other providers sharing the same authorized official: GHAZI, GHAZWAN

ProviderCityStateTotal Paid
AMG DENTAL GROUP PC QUINCY MA $629K
CANTON DENTAL GROUP CANTON MA $572K
BROCKTON DENTAL GROUP P.C. BROCKTON MA $37K
CHELMSFORD DENTAL GROUP PC CHELMSFORD MA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $377.00
2021 13 $377.00
2022 159 $4K
2023 421 $15K
2024 430 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9450 515 494 $13K
D1110 Prophylaxis - adult 155 153 $11K
D1208 Topical application of fluoride, excluding varnish 279 275 $8K
D0120 Periodic oral evaluation - established patient 74 73 $2K
D0274 Bitewings - four radiographic images 13 13 $552.00