Medicaid Provider Spending

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

NANETTE DEMONTEVERDE, DMD, PC

NPI: 1346463973 · MEDFORD, MA 02155 · General Practice Dentistry · NPI assigned 04/11/2007

$11K
Total Medicaid Paid
473
Total Claims
446
Beneficiaries
3
Codes Billed
2019-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialDEMONTEVERDE, NANETTE (PRESIDENT)
NPI Enumeration Date04/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 209 $9K
2020 93 $2K
2021 171 $658.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 191 189 $10K
D0120 Periodic oral evaluation - established patient 81 81 $2K
D1999 201 176 $0.00