Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › NORTHBOROUGH › CHILDREN'S DENTISTRY OF NORTHBOROUGH

CHILDREN'S DENTISTRY OF NORTHBOROUGH

NPI: 1396939583 · NORTHBOROUGH, MA 01532 · Pediatric Dentist · NPI assigned 08/30/2007

$21K
Total Medicaid Paid
686
Total Claims
643
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialMACDONALD, JOLANTA (PEDIATRIC DENTIST)
NPI Enumeration Date08/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 337 $10K
2019 152 $5K
2020 197 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 149 141 $7K
D0120 Periodic oral evaluation - established patient 255 240 $7K
D1206 Topical application of fluoride varnish 268 250 $6K
D1110 Prophylaxis - adult 14 12 $840.00