Medicaid Provider Spending

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

DDMDMD DENTAL ASSOC

NPI: 1518406453 · NEEDHAM, MA 02494 · Dentist · NPI assigned 02/13/2017

$26K
Total Medicaid Paid
637
Total Claims
622
Beneficiaries
4
Codes Billed
2020-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAINES, ERIN (COO)
NPI Enumeration Date02/13/2017

Related Entities

Other providers sharing the same authorized official: RAINES, ERIN

ProviderCityStateTotal Paid
MEOLA DENTAL GROUP BRIGHTON MA $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 50 $3K
2021 43 $1K
2022 66 $2K
2023 121 $5K
2024 357 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 332 325 $18K
D0120 Periodic oral evaluation - established patient 279 272 $7K
D0274 Bitewings - four radiographic images 13 12 $453.00
D0220 Intraoral - periapical first radiographic image 13 13 $201.00