Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › GLASTONBURY › ADDISON VILLAGE DENTAL, INC

ADDISON VILLAGE DENTAL, INC

NPI: 1265863518 · GLASTONBURY, CT 06033 · 1223G0001X

$138K
Total Medicaid Paid
4,984
Total Claims
4,626
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 727 $19K
2019 1,452 $39K
2020 678 $16K
2021 747 $21K
2022 970 $28K
2023 247 $8K
2024 163 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 850 820 $36K
D1208 1,729 1,607 $36K
D0120 1,228 1,156 $30K
D1110 621 541 $17K
D0274 308 296 $10K
D0210 95 75 $4K
D0150 52 43 $2K
D0220 87 75 $950.76
D0140 14 13 $334.52