Medicaid Provider Spending

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

MASS BAY DENTAL PC

NPI: 1518253822 · SALEM, MA 01970 · Dentist · NPI assigned 06/24/2011

$6K
Total Medicaid Paid
157
Total Claims
155
Beneficiaries
3
Codes Billed
2018-02
First Month
2019-05
Last Month

Provider Details

Authorized OfficialIVANOV, GUEORGUI (DENTIST)
NPI Enumeration Date06/24/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 117 $4K
2019 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 53 53 $3K
D0120 Periodic oral evaluation - established patient 88 87 $2K
D1208 Topical application of fluoride, excluding varnish 16 15 $435.00