Medicaid Provider Spending

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

NPI: 1245665892 · WELLESLEY, MA 02481 · Dental Clinic/Center · NPI assigned 09/13/2013

$16K
Total Medicaid Paid
460
Total Claims
456
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialMOSKOWITZ-PORATH, EMREY (DENTIST)
NPI Enumeration Date09/13/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $9K
2019 161 $6K
2020 53 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 183 181 $10K
D0120 Periodic oral evaluation - established patient 265 263 $6K
D1206 Topical application of fluoride varnish 12 12 $286.00