Medicaid Provider Spending

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

DONNA M. PONTE PEREIRA, DMD, LLC

NPI: 1295971992 · CAMBRIDGE, MA 02141 · Periodontist · NPI assigned 12/30/2008

$11K
Total Medicaid Paid
297
Total Claims
296
Beneficiary Records
2
Codes Billed
2018-03
First Month
2019-04
Last Month

Provider Details

Authorized OfficialPONTE PEREIRA, DONNA (PRESIDENT)
NPI Enumeration Date12/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 182 $7K
2019 115 $4K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 172 171 $9K
D0120 Periodic oral evaluation - established patient 125 125 $3K