Medicaid Provider Spending

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

3 STONE DENTAL PLLC

NPI: 1457653792 · CLAREMONT, NH 03743 · General Practice Dentistry · NPI assigned 11/18/2010

$2K
Total Medicaid Paid
92
Total Claims
78
Beneficiaries
3
Codes Billed
2018-05
First Month
2021-03
Last Month

Provider Details

Authorized OfficialELLIS, MARGE (OFFICE MANAGER)
NPI Enumeration Date11/18/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $234.00
2019 66 $1K
2021 13 $667.63

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 27 27 $1K
D1208 Topical application of fluoride, excluding varnish 52 38 $666.00
D0274 Bitewings - four radiographic images 13 13 $410.00