Medicaid Provider Spending

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

DESTINY EMPOWERMENT CENTER INC

NPI: 1225773146 · RANDOLPH, MA 02368 · General Practice Dentistry · NPI assigned 05/04/2022

$13K
Total Medicaid Paid
320
Total Claims
176
Beneficiaries
4
Codes Billed
2022-07
First Month
2022-08
Last Month

Provider Details

Authorized OfficialOLATUNJI, GLORIA (CEO)
NPI Enumeration Date05/04/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 320 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 186 42 $7K
D1120 Prophylaxis - child 41 41 $2K
D0150 Comprehensive oral evaluation - new or established patient 47 47 $2K
D1208 Topical application of fluoride, excluding varnish 46 46 $1K