Medicaid Provider Spending

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

RANA DENTAL

NPI: 1124169628 · EAST BRIDGEWATER, MA 02333 · General Practice Dentistry · NPI assigned 02/09/2007

$130K
Total Medicaid Paid
4,783
Total Claims
4,500
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialSALEMI, FRED (MANAGER)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,674 $47K
2019 1,530 $41K
2020 657 $13K
2021 483 $14K
2022 291 $10K
2023 110 $4K
2024 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 936 899 $24K
D1120 Prophylaxis - child 511 496 $24K
D1208 Topical application of fluoride, excluding varnish 826 803 $23K
D1110 Prophylaxis - adult 370 352 $20K
D0274 Bitewings - four radiographic images 491 464 $18K
D0220 Intraoral - periapical first radiographic image 655 620 $11K
D0230 Intraoral - periapical each additional radiographic image 661 555 $9K
D0330 Panoramic radiographic image 29 27 $2K
D1999 174 157 $0.00
D1330 130 127 $0.00