Medicaid Provider Spending

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

NPI: 1245583798 · BLOOMFIELD, CT 06002 · General Practice Dentistry · NPI assigned 10/22/2012

$12K
Total Medicaid Paid
381
Total Claims
362
Beneficiaries
3
Codes Billed
2019-06
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMATHEW, SHARI (PRESIDENT)
NPI Enumeration Date10/22/2012

Related Entities

Other providers sharing the same authorized official: MATHEW, SHARI

ProviderCityStateTotal Paid
MATHEWS FAMILY DENTAL CENTER PC MANCHESTER CT $6K
GLASTONBURY SMILES, PC GLASTONBURY CT $5K
LUMINOUS DENTAL LLC WATERTOWN MA $538.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $920.36
2020 43 $1K
2021 109 $3K
2022 64 $2K
2023 69 $2K
2024 69 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 125 122 $5K
D0120 Periodic oral evaluation - established patient 188 174 $5K
D1208 Topical application of fluoride, excluding varnish 68 66 $2K