Medicaid Provider Spending

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

ORANGE BLOSSOM DENTAL PLLC

NPI: 1245820851 · PEPPERELL, MA 01463 · General Practice Dentistry · NPI assigned 01/19/2021

$6K
Total Medicaid Paid
189
Total Claims
186
Beneficiaries
4
Codes Billed
2021-08
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGARRIS, GENEVIEVE (OWNER)
NPI Enumeration Date01/19/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 41 $1K
2022 80 $3K
2023 68 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 115 113 $3K
D1120 Prophylaxis - child 38 37 $2K
D1110 Prophylaxis - adult 12 12 $825.00
D1208 Topical application of fluoride, excluding varnish 24 24 $692.00