Medicaid Provider Spending

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

DERRY DENTAL ASSOCIATES

NPI: 1457374712 · DERRY, NH 03038 · General Practice Dentistry · NPI assigned 07/26/2006

$4K
Total Medicaid Paid
148
Total Claims
142
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialYOUNG, ERIK (OWNER)
NPI Enumeration Date07/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $2K
2019 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 69 66 $2K
D1208 Topical application of fluoride, excluding varnish 67 64 $1K
D1110 Prophylaxis - adult 12 12 $530.00