Medicaid Provider Spending

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

MILTON FAMILY DENTISTRY LLC

NPI: 1497049746 · MILTON, VT 05468 · General Practice Dentistry · NPI assigned 06/03/2011

$57K
Total Medicaid Paid
2,049
Total Claims
1,963
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPECOR, CEDRIC (DENTIST)
NPI Enumeration Date06/03/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 423 $12K
2019 391 $11K
2020 254 $7K
2021 256 $7K
2022 434 $11K
2023 253 $8K
2024 38 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 542 515 $24K
D0120 Periodic oral evaluation - established patient 957 918 $22K
D1206 Topical application of fluoride varnish 331 318 $6K
D1120 Prophylaxis - child 73 70 $2K
D1208 Topical application of fluoride, excluding varnish 100 97 $2K
D0274 Bitewings - four radiographic images 14 13 $384.00
D1999 32 32 $0.00