Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› DONNA M. PONTE PEREIRA, DMD, LLC
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 Official
PONTE PEREIRA, DONNA
(PRESIDENT)
NPI Enumeration Date
12/30/2008
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
182
$7K
2019
115
$4K
Billing Codes
Code
Description
Claims
Bene. Records
Total Paid
D1110
Prophylaxis - adult
172
171
$9K
D0120
Periodic oral evaluation - established patient
125
125
$3K