Medicaid Provider Spending

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

KELLY B DEMAREST DMD PC

NPI: 1528118692 · HYANNIS, MA 02601 · General Practice Dentistry · NPI assigned 01/11/2007

$3K
Total Medicaid Paid
65
Total Claims
65
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialDEMAREST, KELLY (PRESIDENT OWNER DENTIST)
NPI Enumeration Date01/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 30 30 $2K
D0120 Periodic oral evaluation - established patient 19 19 $533.00
D1206 Topical application of fluoride varnish 16 16 $416.00