Medicaid Provider Spending

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

ROUTE 9 DENTAL LLC

NPI: 1427702802 · CHESTNUT HILL, MA 02467 · General Practice Dentistry · NPI assigned 02/04/2022

$53K
Total Medicaid Paid
1,806
Total Claims
1,636
Beneficiaries
8
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAGARWAL, AMITA (OWNER)
NPI Enumeration Date02/04/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 28 $979.00
2023 638 $19K
2024 1,140 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 323 314 $18K
D0220 Intraoral - periapical first radiographic image 565 505 $9K
D0150 Comprehensive oral evaluation - new or established patient 167 163 $7K
D0274 Bitewings - four radiographic images 151 148 $6K
D0140 Limited oral evaluation - problem focused 114 107 $4K
D0230 Intraoral - periapical each additional radiographic image 340 255 $4K
D0120 Periodic oral evaluation - established patient 121 119 $3K
D0210 Intraoral - complete series of radiographic images 25 25 $2K