Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › METHUEN › PLEASANT DENTAL CENTER, INC.

PLEASANT DENTAL CENTER, INC.

NPI: 1457527814 · METHUEN, MA 01844 · Dentist · NPI assigned 05/06/2008

$3K
Total Medicaid Paid
108
Total Claims
106
Beneficiaries
3
Codes Billed
2018-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialABOU-EZZI, GEORGE (DENTIST)
NPI Enumeration Date05/06/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $774.00
2019 27 $765.00
2021 13 $332.00
2023 12 $292.00
2024 29 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 70 69 $2K
D1208 Topical application of fluoride, excluding varnish 25 25 $725.00
D1110 Prophylaxis - adult 13 12 $680.00