Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › MILFORD › FAMILY DENTAL CARE OF MILFORD, PROF. ASSN.

FAMILY DENTAL CARE OF MILFORD, PROF. ASSN.

NPI: 1356411839 · MILFORD, NH 03055 · General Practice Dentistry · NPI assigned 11/09/2006

$20K
Total Medicaid Paid
773
Total Claims
732
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialWILSON, KEVIN (PRESIDENT)
NPI Enumeration Date11/09/2006

Related Entities

Other providers sharing the same authorized official: WILSON, KEVIN

ProviderCityStateTotal Paid
CHARLIE'S PHARMACY OF MULLENS, LLC MULLENS WV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 207 $6K
2019 105 $3K
2020 213 $6K
2021 125 $3K
2022 123 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 285 269 $8K
D1120 Prophylaxis - child 192 177 $6K
D1206 Topical application of fluoride varnish 190 185 $3K
D1208 Topical application of fluoride, excluding varnish 88 84 $2K
D1110 Prophylaxis - adult 18 17 $764.96