Medicaid Provider Spending

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

ADVANCED CROWN DENTAL P.C.

NPI: 1104287572 · MANSFIELD, MA 02048 · General Practice Dentistry · NPI assigned 03/14/2016

$49K
Total Medicaid Paid
1,597
Total Claims
1,543
Beneficiaries
7
Codes Billed
2020-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDO, TUAN (OWNER/DENTIST)
NPI Enumeration Date03/14/2016

Related Entities

Other providers sharing the same authorized official: DO, TUAN

ProviderCityStateTotal Paid
CROWN DENTAL, P.C. DEDHAM MA $138K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 212 $955.00
2021 167 $5K
2022 243 $10K
2023 400 $14K
2024 575 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 483 473 $13K
D1206 Topical application of fluoride varnish 408 399 $11K
D0274 Bitewings - four radiographic images 264 257 $10K
D1110 Prophylaxis - adult 138 137 $9K
D1120 Prophylaxis - child 91 85 $5K
D9941 13 13 $1K
D1999 200 179 $0.00