Medicaid Provider Spending

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

AMAZING FAMILY DENTAL PLLC

NPI: 1124690961 · HOOKSETT, NH 03106 · Dental Clinic/Center · NPI assigned 07/12/2021

$10K
Total Medicaid Paid
485
Total Claims
447
Beneficiaries
3
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELFAHAL, MANAL (OWNER/DENTIST)
NPI Enumeration Date07/12/2021

Related Entities

Other providers sharing the same authorized official: ELFAHAL, MANAL

ProviderCityStateTotal Paid
ENDLESS SMILE FAMILY DENTAL CENTER LLC HOOKSETT NH $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $459.36
2022 175 $4K
2023 179 $4K
2024 102 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 396 366 $7K
D1120 Prophylaxis - child 42 38 $1K
D0120 Periodic oral evaluation - established patient 47 43 $1K