Medicaid Provider Spending

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

NPI: 1265103402 · BENNINGTON, VT 05201 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/27/2021

$19K
Total Medicaid Paid
433
Total Claims
415
Beneficiaries
3
Codes Billed
2021-10
First Month
2023-04
Last Month

Provider Details

Authorized OfficialSLEEMAN, MICHAEL (MEMBER)
NPI Enumeration Date09/27/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 65 $2K
2022 313 $15K
2023 55 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 200 193 $11K
D0350 177 167 $5K
D0470 56 55 $3K