Medicaid Provider Spending

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

SHREWSBURY DENTAL

NPI: 1205117710 · SHREWSBURY, MA 01545 · Home Health Agency · NPI assigned 08/30/2011

$9K
Total Medicaid Paid
234
Total Claims
228
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialLI, WENQI (DENTIST)
NPI Enumeration Date08/30/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190 $7K
2019 44 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 136 131 $7K
D0120 Periodic oral evaluation - established patient 73 73 $2K
D0274 Bitewings - four radiographic images 25 24 $852.00