Medicaid Provider Spending

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

CONTEMPORARY GENERAL DENTISTRY, LLC

NPI: 1154960243 · WEST HARTFORD, CT 06119 · General Practice Dentistry · NPI assigned 01/06/2020

$4K
Total Medicaid Paid
176
Total Claims
119
Beneficiaries
2
Codes Billed
2020-07
First Month
2024-03
Last Month

Provider Details

Authorized OfficialNGUYEN, TANYA (OFFICE MANAGER)
NPI Enumeration Date01/06/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 34 $883.96
2021 56 $2K
2022 35 $918.26
2024 51 $468.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 77 66 $3K
D0120 Periodic oral evaluation - established patient 99 53 $2K