Medicaid Provider Spending

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

NPI: 1275904682 · HAVERHILL, MA 01830 · Dentist · NPI assigned 10/12/2015

$415.20
Total Medicaid Paid
43
Total Claims
40
Beneficiaries
3
Codes Billed
2019-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialLOPEZ- CASADO, ALICIA (REGIONAL MANAGER)
NPI Enumeration Date10/12/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $243.60
2021 16 $171.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 16 14 $171.60
D0120 Periodic oral evaluation - established patient 13 13 $128.80
D0220 Intraoral - periapical first radiographic image 14 13 $114.80