Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › EVERETT › CITY DENTAL LLC

CITY DENTAL LLC

NPI: 1467721969 · EVERETT, MA 02149 · 122300000X

$79K
Total Medicaid Paid
2,160
Total Claims
2,037
Beneficiaries
11
Codes Billed
2018-01
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,160 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 384 381 $20K
D0120 425 420 $10K
D0274 272 271 $10K
D0140 187 181 $8K
D1120 150 150 $7K
D0150 152 150 $7K
D1351 118 29 $5K
D1206 160 159 $4K
D0220 240 230 $4K
D0330 50 49 $3K
D0230 22 17 $293.00