Medicaid Provider Spending

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

SEREBRO DENTAL P.C.

NPI: 1518259860 · WEST HAVEN, CT 06516 · General Practice Dentistry · NPI assigned 05/04/2011

$4K
Total Medicaid Paid
161
Total Claims
101
Beneficiaries
6
Codes Billed
2018-07
First Month
2018-07
Last Month

Provider Details

Authorized OfficialSEREBRO, MAKSIM (DIRECTOR)
NPI Enumeration Date05/04/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 161 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 76 16 $1K
D1120 Prophylaxis - child 19 19 $856.52
D0120 Periodic oral evaluation - established patient 19 19 $635.60
D1208 Topical application of fluoride, excluding varnish 18 18 $511.56
D0272 Bitewings - two radiographic images 12 12 $361.60
D0220 Intraoral - periapical first radiographic image 17 17 $307.80