Medicaid Provider Spending

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

MAIN STREET DENTAL OF LITTLETON PLLC

NPI: 1205315462 · LITTLETON, NH 03561 · General Practice Dentistry · NPI assigned 08/08/2018

$3K
Total Medicaid Paid
95
Total Claims
94
Beneficiaries
1
Codes Billed
2018-11
First Month
2020-10
Last Month

Provider Details

Authorized OfficialBENENATI, MICHAEL (DENTIST)
NPI Enumeration Date08/08/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $884.50
2019 37 $1K
2020 27 $849.15

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 95 94 $3K