Medicaid Provider Spending

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

DENTAL SERVICES PC

NPI: 1346352820 · CAMBRIDGE, MA 02138 · General Practice Dentistry · NPI assigned 08/31/2006

$50K
Total Medicaid Paid
1,629
Total Claims
1,585
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialLEVINE, HOWARD (PRESIDENT)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 488 $16K
2019 420 $12K
2020 211 $6K
2021 353 $11K
2022 141 $4K
2023 16 $392.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 357 352 $17K
D1206 Topical application of fluoride varnish 683 670 $17K
D0120 Periodic oral evaluation - established patient 397 389 $11K
D8670 Periodic orthodontic treatment visit 13 13 $2K
D0220 Intraoral - periapical first radiographic image 105 94 $2K
D0274 Bitewings - four radiographic images 24 24 $989.00
D0230 Intraoral - periapical each additional radiographic image 50 43 $556.00