Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MEDFORD TLC DENTAL GROUP, LLC

NPI: 1457863953 · MEDFORD, MA 02155 · General Practice Dentistry · NPI assigned 10/25/2017

$3K
Total Medicaid Paid
66
Total Claims
66
Beneficiaries
2
Codes Billed
2022-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGANOPOLSKY, ANNA (OWNER)
NPI Enumeration Date10/25/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 37 $2K
2023 29 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 51 51 $3K
D0120 Periodic oral evaluation - established patient 15 15 $365.00