Medicaid Provider Spending

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

NPI: 1154564490 · DORCHESTER, MA 02122 · General Practice Dentistry · NPI assigned 04/16/2009

$1K
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2018-06
First Month
2018-06
Last Month

Provider Details

Authorized OfficialKOUMOUTSEAS, CHRISTOS (DENTIST/ OWNER)
NPI Enumeration Date04/16/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 14 14 $728.00
D0120 Periodic oral evaluation - established patient 13 13 $290.00