Medicaid Provider Spending

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

HAWTHORNE FAMILY DENTISTRY

NPI: 1336394113 · HAWTHORNE, NJ 07506 · General Practice Dentistry · NPI assigned 11/20/2008

$25K
Total Medicaid Paid
1,908
Total Claims
1,634
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHAH, RITESH (PARTNER)
NPI Enumeration Date11/20/2008

Related Entities

Other providers sharing the same authorized official: SHAH, RITESH

ProviderCityStateTotal Paid
VERO DIAGNOSTICS DURHAM NC $1.63M
UNILAB INC OAK PARK IL $1.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 314 $3K
2020 69 $428.00
2021 245 $3K
2022 558 $4K
2023 279 $7K
2024 443 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 638 582 $14K
D0120 Periodic oral evaluation - established patient 369 345 $6K
D0274 Bitewings - four radiographic images 293 269 $2K
D0220 Intraoral - periapical first radiographic image 244 236 $806.25
D0150 Comprehensive oral evaluation - new or established patient 30 30 $690.00
D0230 Intraoral - periapical each additional radiographic image 284 136 $585.75
D0330 Panoramic radiographic image 50 36 $488.25