Medicaid Provider Spending

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

HEBRON DENTISTRY PC

NPI: 1275998031 · HEBRON, CT 06248 · General Practice Dentistry · NPI assigned 12/22/2015

$89K
Total Medicaid Paid
2,630
Total Claims
2,538
Beneficiaries
7
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialNICHOLES, ALISON (PRESIDENT)
NPI Enumeration Date12/22/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 923 $36K
2019 630 $21K
2020 637 $18K
2021 313 $10K
2022 127 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 737 732 $33K
D0120 Periodic oral evaluation - established patient 1,015 998 $30K
D1208 Topical application of fluoride, excluding varnish 645 637 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 76 32 $8K
D0274 Bitewings - four radiographic images 27 24 $974.40
D1110 Prophylaxis - adult 18 18 $266.24
D1999 112 97 $0.00