Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOLBROOK DENTAL GROUP, P.C.

NPI: 1174099949 · HOLBROOK, MA 02343 · Periodontist · NPI assigned 10/19/2018

$76K
Total Medicaid Paid
1,824
Total Claims
1,628
Beneficiaries
8
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMUKDISSI, ZAKI (OWNER /MANAGER)
NPI Enumeration Date10/19/2018

Related Entities

Other providers sharing the same authorized official: MUKDISSI, ZAKI

ProviderCityStateTotal Paid
EMESSA DENTAL ASSOCIATES,P.C. CANTON MA $1.74M
MILLIS FAMILY DENTAL P.C. MILLIS MA $471.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $200.00
2021 438 $23K
2022 601 $33K
2023 459 $13K
2024 313 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 25 13 $18K
D2751 Crown - porcelain fused to predominantly base metal 29 24 $16K
D1110 Prophylaxis - adult 276 271 $14K
D0220 Intraoral - periapical first radiographic image 844 721 $12K
D9110 224 208 $8K
D0120 Periodic oral evaluation - established patient 125 123 $3K
D0230 Intraoral - periapical each additional radiographic image 261 229 $2K
D0140 Limited oral evaluation - problem focused 40 39 $1K