Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WEYMOUTH › WEYMOUTH SMILES DENTAL

WEYMOUTH SMILES DENTAL

NPI: 1235494279 · WEYMOUTH, MA 02189 · General Practice Dentistry · NPI assigned 07/05/2012

$23K
Total Medicaid Paid
1,304
Total Claims
1,048
Beneficiaries
8
Codes Billed
2019-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOGHADDAM, SHAHRAM (OWNER)
NPI Enumeration Date07/05/2012

Related Entities

Other providers sharing the same authorized official: MOGHADDAM, SHAHRAM

ProviderCityStateTotal Paid
COMFORT DENTAL WEYMOUTH WEYMOUTH MA $357K
COMFORT DENTAL OF WATERTOWN LLC WATERTOWN MA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $184.00
2020 271 $3K
2021 564 $8K
2022 142 $4K
2023 99 $2K
2024 216 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 137 118 $6K
D0120 Periodic oral evaluation - established patient 273 214 $6K
D0274 Bitewings - four radiographic images 147 121 $5K
D1206 Topical application of fluoride varnish 150 122 $3K
D0220 Intraoral - periapical first radiographic image 119 95 $2K
D0230 Intraoral - periapical each additional radiographic image 66 51 $785.00
D1120 Prophylaxis - child 14 12 $561.00
D1999 398 315 $0.00