Medicaid Provider Spending

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

LIA DENTAL, PC

NPI: 1295439768 · PEABODY, MA 01960 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/29/2023

$592K
Total Medicaid Paid
11,188
Total Claims
9,594
Beneficiaries
21
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNISTAR, SHAHNAAZ (DENTIST/OWNER)
NPI Enumeration Date03/29/2023

Related Entities

Other providers sharing the same authorized official: NISTAR, SHAHNAAZ

ProviderCityStateTotal Paid
NISTAR PEDIATRIC DENTISTRY PLLC HAVERHILL MA $2.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 4,341 $217K
2024 6,847 $376K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 1,575 845 $174K
D1120 1,838 1,782 $88K
D1206 1,982 1,924 $52K
D0120 1,663 1,620 $49K
D8670 186 150 $37K
D2930 190 69 $32K
D0272 766 735 $23K
D0150 347 342 $20K
D0274 440 427 $19K
D2393 148 114 $18K
D7140 182 84 $18K
D9230 833 728 $17K
D0330 160 159 $12K
D1110 122 120 $8K
D1351 168 57 $7K
D2391 82 54 $6K
D0140 111 103 $5K
D0220 228 208 $4K
D9310 36 32 $2K
D0230 110 27 $846.00
D3120 21 14 $840.00