Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › STONEHAM › NEW SMILE FAMILY DENTAL, P.C.

NEW SMILE FAMILY DENTAL, P.C.

NPI: 1437426475 · STONEHAM, MA 02180 · General Practice Dentistry · NPI assigned 11/18/2011

$27K
Total Medicaid Paid
724
Total Claims
701
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialSUN, YAN (DENTIST)
NPI Enumeration Date11/18/2011

Related Entities

Other providers sharing the same authorized official: SUN, YAN

ProviderCityStateTotal Paid
PRIMARY CARE PHYSICIAN NORTH PC PEABODY MA $19K
SUN ORTHOPAEDIC SURGERY PC FLUSHING NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 307 $11K
2019 235 $9K
2020 33 $1K
2021 77 $3K
2022 72 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 360 352 $17K
D0274 Bitewings - four radiographic images 103 99 $3K
D0120 Periodic oral evaluation - established patient 103 102 $2K
D0140 Limited oral evaluation - problem focused 41 40 $2K
D0220 Intraoral - periapical first radiographic image 104 95 $1K
D0330 Panoramic radiographic image 13 13 $636.00