Medicaid Provider Spending

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

PRECIOUS SMILES OF DANVERS LLC

NPI: 1396287694 · DANVERS, MA 01923 · Dental Clinic/Center · NPI assigned 11/17/2016

$61K
Total Medicaid Paid
2,447
Total Claims
1,998
Beneficiaries
5
Codes Billed
2019-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTSAPARLIS, KYRIAKI (DENTIST)
NPI Enumeration Date11/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $857.00
2020 91 $3K
2021 149 $5K
2022 1,000 $25K
2023 834 $20K
2024 337 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 469 451 $24K
D0274 Bitewings - four radiographic images 354 343 $13K
D0220 Intraoral - periapical first radiographic image 583 531 $9K
D0230 Intraoral - periapical each additional radiographic image 747 384 $9K
D0120 Periodic oral evaluation - established patient 294 289 $7K