Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › JAMAICA PLAIN › PURE DENTAL PC

PURE DENTAL PC

NPI: 1225326416 · JAMAICA PLAIN, MA 02130 · 122300000X

$96K
Total Medicaid Paid
2,664
Total Claims
2,498
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 943 $38K
2019 696 $24K
2020 620 $17K
2021 405 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,103 1,059 $53K
D0120 1,056 1,007 $22K
D0274 225 214 $7K
D2392 60 37 $4K
D0210 60 58 $4K
D2393 43 25 $4K
D0140 40 29 $688.00
D0150 15 14 $581.00
D0220 49 42 $562.00
D1206 13 13 $403.00