Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › BROCKTON › SOUTHEAST ORTHODONTICS, INC.

SOUTHEAST ORTHODONTICS, INC.

NPI: 1114095361 · BROCKTON, MA 02301 · Dental Clinic/Center · NPI assigned 12/04/2006

$1.03M
Total Medicaid Paid
6,496
Total Claims
5,387
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAUDREAULT, BRIAN (PRESIDENT)
NPI Enumeration Date12/04/2006

Related Entities

Other providers sharing the same authorized official: GAUDREAULT, BRIAN

ProviderCityStateTotal Paid
SOUTHEAST PEDIATRIC DENTISTRY AND ORTHODONTICS PC DARTMOUTH MA $2.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,001 $129K
2019 1,025 $182K
2020 992 $188K
2021 1,179 $162K
2022 1,082 $140K
2023 782 $143K
2024 435 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 4,219 3,601 $892K
D8680 888 583 $72K
D9310 632 483 $26K
D8660 656 623 $17K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 14 13 $15K
D8690 75 72 $10K
D8999 12 12 $648.00