Medicaid Provider Spending

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

SHIRLEY DENTAL CARE, INC

NPI: 1265973648 · SHIRLEY, MA 01464 · Dentist · NPI assigned 03/17/2017

$29K
Total Medicaid Paid
920
Total Claims
805
Beneficiary Records
5
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialANNESE, MATTHEW (PRESIDENT)
NPI Enumeration Date03/17/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 458 $15K
2019 341 $10K
2020 121 $4K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 339 293 $16K
D0120 Periodic oral evaluation - established patient 410 364 $9K
D1206 Topical application of fluoride varnish 93 82 $2K
D0274 Bitewings - four radiographic images 47 39 $1K
D1120 Prophylaxis - child 31 27 $1K