Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › ROCKPORT › ROCKPORT FAMILY DENTAL PC

ROCKPORT FAMILY DENTAL PC

NPI: 1336562586 · ROCKPORT, MA 01966 · Dentist · NPI assigned 01/23/2014

$92K
Total Medicaid Paid
1,287
Total Claims
1,220
Beneficiaries
8
Codes Billed
2018-02
First Month
2022-04
Last Month

Provider Details

Authorized OfficialKIM, DONG (OWNER)
NPI Enumeration Date01/23/2014

Related Entities

Other providers sharing the same authorized official: KIM, DONG

ProviderCityStateTotal Paid
DR. DONGWON KIM PC TAUNTON MA $1.53M
DR. DONGWON KIM PC MATTAPAN MA $1.22M
QUABBIN VALLEY DENTAL PC ATHOL MA $1.01M
SHOE CITY FAMILY DENTAL PC HAVERHILL MA $138K
SALEM FAMILY DENTAL CARE, P.C. SALEM MA $83K
DONG S KIM DMD, PC LUTHERVILLE MD $67K
PINE DENTAL PC FITCHBURG MA $16K
LEE AND KIM DENTAL CORPORATION ARTESIA CA $10K
DONG S. KIM, M.D., INC MORENO VALLEY CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $2K
2019 147 $5K
2020 296 $10K
2021 495 $38K
2022 311 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 37 25 $23K
D1110 Prophylaxis - adult 386 377 $19K
D2751 Crown - porcelain fused to predominantly base metal 35 26 $18K
D0120 Periodic oral evaluation - established patient 492 476 $11K
D2950 66 48 $9K
D1120 Prophylaxis - child 111 110 $5K
D1206 Topical application of fluoride varnish 122 120 $3K
D0274 Bitewings - four radiographic images 38 38 $1K