Medicaid Provider Spending

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

DENTREMONT, RICHARD

NPI: 1356304356 · WOBURN, MA 01801 · Pediatrics Physician · NPI assigned 04/10/2006

$3K
Total Medicaid Paid
80
Total Claims
80
Beneficiaries
4
Codes Billed
2020-01
First Month
2020-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 80 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25 25 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 18 18 $493.21
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 25 25 $249.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $128.40