Medicaid Provider Spending

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

NPI: 1154821270 · WINCHENDON, MA 01475 · Dental Clinic/Center · NPI assigned 02/15/2018

$1K
Total Medicaid Paid
28
Total Claims
28
Beneficiary Records
2
Codes Billed
2022-06
First Month
2022-06
Last Month

Provider Details

Authorized OfficialELNAZER, MOHAMED (OWNER)
NPI Enumeration Date02/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 28 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 14 14 $770.00
D1206 Topical application of fluoride varnish 14 14 $392.00