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MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
NPI: 1326340068
· BOSTON, MA 02108
· Public Health or Welfare Agency
· NPI assigned 12/01/2010
$680K
Total Medicaid Paid
15,722
Beneficiary Records
Provider Details
| Authorized Official | WEISBERG, CAROL (CHIEF OPERATING OFFICER) |
| Parent Organization | COMMONWEALTH OF MASSACHUSETTS |
| NPI Enumeration Date | 12/01/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,869 |
$304K |
| 2019 |
8,040 |
$279K |
| 2020 |
2,615 |
$98K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
8,558 |
8,486 |
$218K |
| D1351 |
Sealant - per tooth |
5,826 |
2,123 |
$218K |
| D1120 |
Prophylaxis - child |
4,146 |
4,123 |
$205K |
| D9410 |
|
763 |
762 |
$24K |
| D1110 |
Prophylaxis - adult |
231 |
228 |
$16K |