Medicaid Provider Spending

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

ALL DENTAL OF REVERE

NPI: 1285005207 · REVERE, MA 02151 · Dentist · NPI assigned 10/16/2015

$2K
Total Medicaid Paid
101
Total Claims
91
Beneficiaries
2
Codes Billed
2023-05
First Month
2024-03
Last Month

Provider Details

Authorized OfficialMAZO, ANDREY (PRESIDENT)
NPI Enumeration Date10/16/2015

Related Entities

Other providers sharing the same authorized official: MAZO, ANDREY

ProviderCityStateTotal Paid
ARENA DENTAL LLC WORCESTER MA $192K
ANDREY MAZO DMD PC WORCESTER MA $151K
FRESH POND DENTAL LLC CAMBRIDGE MA $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 45 $630.00
2024 56 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1330 84 74 $1K
D1206 Topical application of fluoride varnish 17 17 $663.00