Medicaid Provider Spending

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

DR JOHN F ANDREWS JR DMD

NPI: 1275790628 · BOOTHBAY HARBOR, ME 04538 · Dental Clinic/Center · NPI assigned 05/21/2008

$10K
Total Medicaid Paid
342
Total Claims
322
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialANDREWS, JOHN (OWNER)
NPI Enumeration Date05/21/2008

Related Entities

Other providers sharing the same authorized official: ANDREWS, JOHN

ProviderCityStateTotal Paid
SMILERIGHT KIDS DENTISTRY, PLLC COLLEGE STATION TX $111K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $702.00
2019 24 $504.00
2020 40 $912.00
2021 15 $360.00
2022 49 $1K
2023 81 $3K
2024 82 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 164 151 $5K
D1120 Prophylaxis - child 51 51 $2K
D1206 Topical application of fluoride varnish 114 107 $2K
D1110 Prophylaxis - adult 13 13 $735.74