Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SIMPLY DENTAL AND ORTHODONTICS OF WAYLAND ,PLLC

NPI: 1225517899 · WAYLAND, MA 01778 · Pediatric Dentist · NPI assigned 08/14/2018

$19K
Total Medicaid Paid
668
Total Claims
612
Beneficiaries
9
Codes Billed
2019-04
First Month
2023-04
Last Month

Provider Details

Authorized OfficialHODGERNEY, AIMEE (OPERATIONS MANAGER)
NPI Enumeration Date08/14/2018

Related Entities

Other providers sharing the same authorized official: HODGERNEY, AIMEE

ProviderCityStateTotal Paid
PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC NEW BRITAIN CT $4.90M
NINE WEST MAIN DENTAL, LLC WEST BROOKFIELD MA $1.02M
SIMPLY ORTHODONTICS OF MARLBOROUGH, PLLC MARLBOROUGH MA $162K
SUPER DENTAL OF WORCESTER PLLC WORCESTER MA $120K
SIMPLY DENTAL OF LONDONDERRY MILES OF SMILES LONDONDERRY NH $104K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $312.00
2020 80 $2K
2021 86 $2K
2022 367 $11K
2023 122 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 201 181 $9K
D0120 Periodic oral evaluation - established patient 147 142 $4K
D0150 Comprehensive oral evaluation - new or established patient 66 64 $3K
D0220 Intraoral - periapical first radiographic image 90 79 $1K
D1206 Topical application of fluoride varnish 53 50 $1K
D1120 Prophylaxis - child 13 12 $500.08
D0274 Bitewings - four radiographic images 13 12 $418.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $180.00
D1999 73 60 $0.00