Medicaid Provider Spending

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

FRESH POND DENTAL LLC

NPI: 1134496904 · CAMBRIDGE, MA 02138 · 261QD0000X

$110K

Total Medicaid Paid

2,883

Total Claims

2,707

Beneficiaries

13

Codes Billed

2018-01

First Month

2019-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,740	$65K
2019	1,143	$45K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		886	860	$44K
D0120		645	625	$14K
D0274		368	359	$13K
D0210		124	119	$8K
D2393		81	56	$7K
D0150		138	135	$6K
D4341		56	14	$5K
D0220		278	265	$4K
D1208		98	98	$3K
D0140		69	66	$3K
D1120		42	42	$2K
D2392		14	12	$1K
D0230		84	56	$998.00