Medicaid Provider Spending

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

CAPE DENTAL GROUP, P.C.

NPI: 1275374191 · FALMOUTH, MA 02540 · General Practice Dentistry · NPI assigned 06/04/2024

$7K
Total Medicaid Paid
189
Total Claims
188
Beneficiaries
4
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEZESHKI, FARSHAD (OWNER)
NPI Enumeration Date06/04/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 189 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 61 61 $3K
D1206 Topical application of fluoride varnish 60 60 $2K
D0120 Periodic oral evaluation - established patient 52 51 $2K
D0272 Bitewings - two radiographic images 16 16 $502.00