Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › FRYEBURG › FRYEBURG DENTAL CENTER LLC

FRYEBURG DENTAL CENTER LLC

NPI: 1154867109 · FRYEBURG, ME 04037 · Dentist · NPI assigned 01/15/2017

$6K
Total Medicaid Paid
282
Total Claims
271
Beneficiaries
4
Codes Billed
2018-08
First Month
2022-08
Last Month

Provider Details

Authorized OfficialHARPER, MICHAEL (OWNER)
NPI Enumeration Date01/15/2017

Related Entities

Other providers sharing the same authorized official: HARPER, MICHAEL

ProviderCityStateTotal Paid
MAINE CARE DENTAL LLC FRYEBURG ME $104K
SELLERSBURG INTERNAL MEDICINE & PEDIATRICS SELLERSBURG IN $54K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $690.00
2019 52 $1K
2020 84 $2K
2021 80 $2K
2022 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 132 125 $3K
D1110 Prophylaxis - adult 55 54 $2K
D1206 Topical application of fluoride varnish 67 64 $776.82
D1208 Topical application of fluoride, excluding varnish 28 28 $342.56