Medicaid Provider Spending

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

NPI: 1487118188 · WATERTOWN, MA 02472 · Dental Clinic/Center · NPI assigned 01/27/2019

$538.00
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2019-12
First Month
2019-12
Last Month

Provider Details

Authorized OfficialMATHEW, SHARI (DENTIST)
NPI Enumeration Date01/27/2019

Related Entities

Other providers sharing the same authorized official: MATHEW, SHARI

ProviderCityStateTotal Paid
BLOOMFIELD FAMILY DENTAL, PC BLOOMFIELD CT $12K
MATHEWS FAMILY DENTAL CENTER PC MANCHESTER CT $6K
GLASTONBURY SMILES, PC GLASTONBURY CT $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $538.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 14 14 $364.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $174.00