Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › HOOKSETT › ENDLESS SMILE FAMILY DENTAL CENTER LLC

ENDLESS SMILE FAMILY DENTAL CENTER LLC

NPI: 1255501532 · HOOKSETT, NH 03106 · General Practice Dentistry · NPI assigned 03/03/2008

$5K
Total Medicaid Paid
231
Total Claims
181
Beneficiaries
2
Codes Billed
2018-02
First Month
2021-07
Last Month

Provider Details

Authorized OfficialELFAHAL, MANAL (OWNER)
NPI Enumeration Date03/03/2008

Related Entities

Other providers sharing the same authorized official: ELFAHAL, MANAL

ProviderCityStateTotal Paid
AMAZING FAMILY DENTAL PLLC HOOKSETT NH $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109 $2K
2019 72 $1K
2020 15 $345.95
2021 35 $972.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 177 145 $4K
D1120 Prophylaxis - child 54 36 $912.00