Medicaid Provider Spending

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

ANDOVER PERIODONTICS, PC

NPI: 1477808822 · ANDOVER, MA 01810 · Periodontist · NPI assigned 07/20/2012

$597.00
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2018-06
First Month
2018-06
Last Month

Provider Details

Authorized OfficialDONA, MARIA (PRESIDENT)
NPI Enumeration Date07/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $597.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 13 13 $597.00