Medicaid Provider Spending

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

NPI: 1437545829 · LINCOLN, NH 03251 · Exclusive Provider Organization · NPI assigned 04/13/2015

$55K
Total Medicaid Paid
3,067
Total Claims
2,086
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialCAPOZZI, PATRICK (MANAGER)
NPI Enumeration Date04/13/2015

Related Entities

Other providers sharing the same authorized official: CAPOZZI, PATRICK

ProviderCityStateTotal Paid
CONCORD PEDIATRIC DENTISTRY OF NEW LONDON, PLLC NEW LONDON NH $925K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,354 $28K
2019 1,065 $12K
2020 94 $3K
2021 150 $3K
2022 331 $7K
2023 73 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,097 697 $20K
D1208 Topical application of fluoride, excluding varnish 1,314 892 $16K
D1120 Prophylaxis - child 453 339 $12K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 128 94 $4K
D1110 Prophylaxis - adult 45 38 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17 13 $2K
D0272 Bitewings - two radiographic images 13 13 $338.00