Medicaid Provider Spending

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

WILLIAMSON DENTAL CARE

NPI: 1346816089 · WILLIAMSON, NY 14589 · General Practice Dentistry · NPI assigned 06/02/2021

$15K
Total Medicaid Paid
1,083
Total Claims
1,062
Beneficiaries
4
Codes Billed
2021-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWINSLOW, SHAUGHNA (OWNER)
NPI Enumeration Date06/02/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 53 $529.15
2022 320 $4K
2023 352 $5K
2024 358 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 278 278 $8K
D1120 Prophylaxis - child 138 138 $5K
D1208 Topical application of fluoride, excluding varnish 154 154 $2K
D1999 513 492 $0.00