Medicaid Provider Spending

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

UNIVERSITY OF BRIDGEPORT

NPI: 1457493728 · BRIDGEPORT, CT 06604 · Dental Clinic/Center · NPI assigned 02/13/2007

$87K
Total Medicaid Paid
3,015
Total Claims
2,783
Beneficiaries
14
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, SUSAN (V. P. ADMINISTRATION AND FINANCE)
NPI Enumeration Date02/13/2007

Related Entities

Other providers sharing the same authorized official: WILLIAMS, SUSAN

ProviderCityStateTotal Paid
DIVINITY COMMUNITY LIVING, INC. JACKSON MS $5.05M
SOLUTION-BASED COUNSELING SERVICES, LLC CLINTON TWP MI $382K
PATHOLOGY PARTNERS LLC LITTLE ROCK AR $140K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 507 $16K
2019 860 $25K
2020 401 $12K
2021 509 $13K
2022 366 $9K
2023 294 $9K
2024 78 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 695 678 $26K
D1208 Topical application of fluoride, excluding varnish 679 659 $15K
D0120 Periodic oral evaluation - established patient 402 396 $9K
D1351 Sealant - per tooth 249 89 $8K
D0150 Comprehensive oral evaluation - new or established patient 136 136 $6K
D1110 Prophylaxis - adult 231 221 $6K
D0330 Panoramic radiographic image 80 75 $5K
D0272 Bitewings - two radiographic images 133 128 $3K
D1206 Topical application of fluoride varnish 238 235 $3K
D0274 Bitewings - four radiographic images 92 86 $3K
D0190 19 19 $595.00
D0140 Limited oral evaluation - problem focused 19 19 $453.60
D0602 13 13 $293.02
D1320 29 29 $94.64