Medicaid Provider Spending

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

BRITE FAMILY DENTAL CARE

NPI: 1124561360 · HENRIETTA, NY 14467 · General Practice Dentistry · NPI assigned 11/20/2016

$7K
Total Medicaid Paid
273
Total Claims
272
Beneficiaries
3
Codes Billed
2018-09
First Month
2020-02
Last Month

Provider Details

Authorized OfficialKEMSHETTI, MEGGY (DENTIST OWNER)
NPI Enumeration Date11/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $684.00
2019 160 $4K
2020 89 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 95 94 $4K
D0120 Periodic oral evaluation - established patient 66 66 $2K
D1208 Topical application of fluoride, excluding varnish 112 112 $2K