42 NORTH DENTAL CARE, LLC
NPI: 1205868098
· WALTHAM, MA 02451
· 204E00000X
$2.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,729 |
$54K |
| 2019 |
4,201 |
$135K |
| 2020 |
6,787 |
$246K |
| 2021 |
10,881 |
$417K |
| 2022 |
13,434 |
$494K |
| 2023 |
15,975 |
$521K |
| 2024 |
9,679 |
$363K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
17,566 |
15,754 |
$672K |
| D0120 |
|
12,372 |
11,109 |
$359K |
| D1206 |
|
14,478 |
13,078 |
$351K |
| D8670 |
|
3,388 |
3,282 |
$237K |
| D0274 |
|
2,736 |
2,542 |
$113K |
| D1351 |
|
3,040 |
800 |
$110K |
| D0150 |
|
1,532 |
1,376 |
$84K |
| D0330 |
|
1,007 |
938 |
$66K |
| D2392 |
|
556 |
324 |
$55K |
| D0272 |
|
1,262 |
1,208 |
$35K |
| D2391 |
|
414 |
270 |
$34K |
| D0220 |
|
1,500 |
1,430 |
$26K |
| D9310 |
|
697 |
623 |
$19K |
| D7140 |
|
180 |
103 |
$19K |
| D0230 |
|
1,021 |
909 |
$16K |
| D1208 |
|
523 |
489 |
$13K |
| D0140 |
|
140 |
131 |
$6K |
| D2393 |
|
36 |
12 |
$4K |
| D2930 |
|
21 |
15 |
$4K |
| D0470 |
|
25 |
25 |
$2K |
| D9230 |
|
78 |
39 |
$2K |
| D1110 |
|
26 |
26 |
$2K |
| D8660 |
|
88 |
87 |
$931.56 |