Medicaid Provider Spending

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

NPI: 1326207796 · NORTHBOROUGH, MA 01532 · General Practice Dentistry · NPI assigned 06/02/2008

$30K
Total Medicaid Paid
825
Total Claims
773
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialMOHEBAN, MANSOUR (PRESIDENT)
NPI Enumeration Date06/02/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 442 $15K
2019 359 $13K
2020 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 487 453 $23K
D0120 Periodic oral evaluation - established patient 338 320 $7K