Medicaid Provider Spending

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

WEST HARTFORD FAMILY DENTISTRY

NPI: 1487838330 · WEST HARTFORD, CT 06117 · General Practice Dentistry · NPI assigned 12/27/2007

$32K
Total Medicaid Paid
944
Total Claims
928
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialSHAKUN, ROY (PRESIDENT)
NPI Enumeration Date12/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 944 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 322 316 $14K
D0120 Periodic oral evaluation - established patient 320 314 $10K
D1208 Topical application of fluoride, excluding varnish 275 272 $7K
D0220 Intraoral - periapical first radiographic image 27 26 $465.50