Medicaid Provider Spending

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

WATERTOWN DENTAL ASSOCIATES PLLC

NPI: 1295459998 · BRIGHTON, MA 02135 · Dental Clinic/Center · NPI assigned 09/27/2022

$17K
Total Medicaid Paid
379
Total Claims
374
Beneficiaries
3
Codes Billed
2023-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPAPAPETROS, NICHOLAS (PRESIDENT)
NPI Enumeration Date09/27/2022

Related Entities

Other providers sharing the same authorized official: PAPAPETROS, NICHOLAS

ProviderCityStateTotal Paid
PEPPERELL DENTAL ASSOCIATES, LLC PEPPERELL MA $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 310 $14K
2024 69 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 271 270 $15K
D0120 Periodic oral evaluation - established patient 88 88 $2K
D0220 Intraoral - periapical first radiographic image 20 16 $240.00