Medicaid Provider Spending

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

SHORE ORTHODONTICS PA

NPI: 1255532644 · TOMS RIVER, NJ 08753 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/31/2007

$16K
Total Medicaid Paid
287
Total Claims
284
Beneficiaries
2
Codes Billed
2018-02
First Month
2019-09
Last Month

Provider Details

Authorized OfficialBOIM, EDWARD (VICE PRESIDENT)
NPI Enumeration Date05/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $7K
2019 153 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 274 271 $16K
D9310 13 13 $195.00