Medicaid Provider Spending

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

COOS COUNTY FAMILY HEALTH SERVICES, INC

NPI: 1265212377 · COLEBROOK, NH 03576 · General Practice Dentistry · NPI assigned 10/05/2023

$8K
Total Medicaid Paid
132
Total Claims
122
Beneficiaries
3
Codes Billed
2024-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHULME, CHANTAL (CREDENTIALING MANAGER)
Parent OrganizationCOOS COUNTY FAMILY HEALTH SERVICES, INC
NPI Enumeration Date10/05/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 132 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 84 78 $6K
D1110 Prophylaxis - adult 35 32 $2K
D0120 Periodic oral evaluation - established patient 13 12 $462.24