Medicaid Provider Spending

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

AMAZING SMILES FAMILY DENTAL CENTER

NPI: 1245409150 · HOOKSETT, NH 03106 · Dental Clinic/Center · NPI assigned 02/25/2008

$9K
Total Medicaid Paid
423
Total Claims
380
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialVEGA, FREDRICK (PRESIDENT)
NPI Enumeration Date02/25/2008

Related Entities

Other providers sharing the same authorized official: VEGA, FREDRICK

ProviderCityStateTotal Paid
BELMONT FAMILY DENTAL CENTER, PLLC BELMONT NH $432.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 175 $4K
2019 112 $2K
2020 79 $1K
2021 57 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 122 108 $3K
D1206 Topical application of fluoride varnish 195 181 $3K
D1110 Prophylaxis - adult 45 38 $2K
D0274 Bitewings - four radiographic images 22 15 $448.00
D1330 39 38 $0.00