Medicaid Provider Spending

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

KENNEDY FAMILY DENTAL

NPI: 1255632667 · TORRINGTON, CT 06790 · General Practice Dentistry · NPI assigned 11/16/2010

$192K
Total Medicaid Paid
5,693
Total Claims
5,471
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGOYAL, RIDHIMA (OWNER)
NPI Enumeration Date11/16/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,322 $42K
2019 916 $32K
2020 637 $23K
2021 829 $28K
2022 828 $27K
2023 684 $23K
2024 477 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,813 1,737 $78K
D0120 Periodic oral evaluation - established patient 1,821 1,751 $57K
D1208 Topical application of fluoride, excluding varnish 1,805 1,732 $47K
D0274 Bitewings - four radiographic images 182 179 $7K
D1110 Prophylaxis - adult 56 56 $2K
D0140 Limited oral evaluation - problem focused 16 16 $399.36