Medicaid Provider Spending

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

MERIDEN ADULT AND CHILDREN'S PC

NPI: 1376953356 · MERIDEN, CT 06450 · General Practice Dentistry · NPI assigned 04/30/2014

$136K
Total Medicaid Paid
3,502
Total Claims
2,994
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialRIVERA, ELBA (ADMINISTRATIVE ASST)
NPI Enumeration Date04/30/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,502 $136K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2150 Silver amalgam - two surfaces, primary or permanent 370 231 $23K
D7140 Extraction, erupted tooth or exposed root 367 200 $21K
D1110 Prophylaxis - adult 459 445 $13K
D2140 192 138 $11K
D0210 Intraoral - complete series of radiographic images 229 223 $10K
D0274 Bitewings - four radiographic images 341 331 $10K
D1120 Prophylaxis - child 245 235 $10K
D0120 Periodic oral evaluation - established patient 429 416 $9K
D2332 90 52 $7K
D0150 Comprehensive oral evaluation - new or established patient 179 167 $7K
D1208 Topical application of fluoride, excluding varnish 238 232 $5K
D0140 Limited oral evaluation - problem focused 193 182 $5K
D2160 53 41 $4K
D2330 22 17 $982.00
D0220 Intraoral - periapical first radiographic image 95 84 $636.50