Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MEDFORD MAIN STREET DENTAL P.C.

NPI: 1124894894 · MEDFORD, MA 02155 · Dentist · NPI assigned 12/04/2023

$27K
Total Medicaid Paid
43
Total Claims
27
Beneficiaries
1
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDO, TIEN (OWNER)
NPI Enumeration Date12/04/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 43 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 43 27 $27K