Medicaid Provider Spending

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

KOKO DENTAL CARE PLLC

NPI: 1366152191 · WALTHAM, MA 02453 · General Practice Dentistry · NPI assigned 12/02/2022

$14K
Total Medicaid Paid
254
Total Claims
253
Beneficiaries
4
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOTCHINIAN, HAROUTIOUN (OWNER)
NPI Enumeration Date12/02/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 254 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 85 85 $5K
D0210 Intraoral - complete series of radiographic images 59 59 $4K
D0150 Comprehensive oral evaluation - new or established patient 97 96 $4K
D0140 Limited oral evaluation - problem focused 13 13 $571.00