Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › GLASTONBURY › CONNECTICUT MAXILLOFACIAL ASSOCIATES, P.C.

CONNECTICUT MAXILLOFACIAL ASSOCIATES, P.C.

NPI: 1174768741 · GLASTONBURY, CT 06033 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/10/2008

$8K
Total Medicaid Paid
354
Total Claims
297
Beneficiaries
3
Codes Billed
2019-02
First Month
2023-10
Last Month

Provider Details

Authorized OfficialBEVILACQUA, RICHARD (PRESIDENT)
NPI Enumeration Date12/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $598.08
2020 41 $1K
2021 166 $4K
2022 102 $2K
2023 17 $155.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99241 295 251 $7K
D0140 Limited oral evaluation - problem focused 42 34 $598.08
D9310 17 12 $155.04