Medicaid Provider Spending

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

NPI: 1518256643 · HARTFORD, CT 06105 · Pediatric Dentist · NPI assigned 03/29/2011

$13K
Total Medicaid Paid
468
Total Claims
447
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialKWON, CHIA HUI (DENTIST/PART OWNER OF THE OFFICE)
NPI Enumeration Date03/29/2011

Related Entities

Other providers sharing the same authorized official: KWON, CHIA HUI

ProviderCityStateTotal Paid
MAGICLAND PEDIATRIC DENTAL LLC WATERBURY CT $6.64M
MERIDEN DENTAL ASSOCIATES, LLC EAST HARTFORD CT $749K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 468 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 101 101 $4K
D1208 Topical application of fluoride, excluding varnish 194 186 $4K
D0120 Periodic oral evaluation - established patient 123 118 $3K
D1110 Prophylaxis - adult 32 28 $865.28
D0274 Bitewings - four radiographic images 18 14 $321.60