Medicaid Provider Spending

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

PETER L BOWMAN DDS FAMILY DENTISTRY PLLC

NPI: 1245641463 · WALPOLE, NH 03608 · General Practice Dentistry · NPI assigned 05/09/2014

$2K
Total Medicaid Paid
72
Total Claims
68
Beneficiaries
3
Codes Billed
2018-07
First Month
2021-08
Last Month

Provider Details

Authorized OfficialBOWMAN, ALICIA (MANAGER)
NPI Enumeration Date05/09/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $560.00
2019 26 $634.00
2021 15 $421.46

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 30 28 $798.00
D0120 Periodic oral evaluation - established patient 15 15 $421.46
D1208 Topical application of fluoride, excluding varnish 27 25 $396.00