Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VT › BURLINGTON › WILLARD STREET FAMILY DENTAL

WILLARD STREET FAMILY DENTAL

NPI: 1427226380 · BURLINGTON, VT 05401 · Dentist · NPI assigned 02/13/2008

$5K
Total Medicaid Paid
135
Total Claims
135
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialDESANCTIS, ADAM (DENTIST)
NPI Enumeration Date02/13/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $1K
2020 26 $926.00
2022 43 $1K
2023 14 $556.50
2024 12 $477.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 97 97 $3K
D1110 Prophylaxis - adult 38 38 $2K