FORSYTH DENTAL INFIRMARY FOR CHILDREN
NPI: 1497977177
· BOSTON, MA 02115
· 122300000X
$1.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,663 |
$225K |
| 2019 |
14,439 |
$269K |
| 2020 |
2,623 |
$43K |
| 2021 |
2,340 |
$64K |
| 2022 |
5,240 |
$192K |
| 2023 |
5,118 |
$180K |
| 2024 |
3,520 |
$132K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
|
13,120 |
13,079 |
$336K |
| D1120 |
|
3,854 |
3,842 |
$193K |
| D0120 |
|
6,059 |
6,034 |
$174K |
| D0150 |
|
2,721 |
2,708 |
$156K |
| D1351 |
|
3,863 |
1,208 |
$149K |
| D1110 |
|
1,526 |
1,471 |
$79K |
| D0140 |
|
347 |
321 |
$12K |
| D1354 |
|
182 |
57 |
$3K |
| D0274 |
|
42 |
42 |
$2K |
| D0210 |
|
18 |
13 |
$908.00 |
| D0190 |
|
1,398 |
1,395 |
$0.00 |
| D1330 |
|
6,106 |
6,093 |
$0.00 |
| D1310 |
|
1,707 |
1,704 |
$0.00 |