Medicaid Provider Spending

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

UXBRIDGE FAMILY DENTAL, P. C.

NPI: 1295995033 · UXBRIDGE, MA 01569 · Dentist · NPI assigned 06/16/2008

$71K
Total Medicaid Paid
2,360
Total Claims
2,260
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALKHOURY, SAM (DIRECTOR)
NPI Enumeration Date06/16/2008

Related Entities

Other providers sharing the same authorized official: ALKHOURY, SAM

ProviderCityStateTotal Paid
SAM ALKHOURY DMD PC WORCESTER MA $1.44M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 347 $10K
2019 121 $4K
2020 422 $12K
2021 577 $19K
2022 101 $3K
2023 247 $8K
2024 545 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 620 606 $17K
D1206 Topical application of fluoride varnish 675 659 $17K
D1110 Prophylaxis - adult 179 172 $11K
D1120 Prophylaxis - child 194 188 $10K
D0274 Bitewings - four radiographic images 217 204 $9K
D0220 Intraoral - periapical first radiographic image 255 241 $5K
D0230 Intraoral - periapical each additional radiographic image 149 128 $2K
D0272 Bitewings - two radiographic images 12 12 $360.00
D1999 59 50 $0.00