Medicaid Provider Spending

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

PERFECT SMILE DENTAL PC

NPI: 1346074143 · MANCHESTER, CT 06042 · 1223G0001X

$12K

Total Medicaid Paid

663

Total Claims

438

Beneficiaries

9

Codes Billed

2024-10

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	663	$12K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		108	81	$3K
D0140		160	101	$3K
D0210		77	65	$3K
D0220		150	90	$1K
D1110		36	20	$499.20
D1120		29	17	$495.88
D0120		45	28	$490.70
D0274		34	23	$421.92
D1206		24	13	$198.94