Medicaid Provider Spending

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

ALERIS DENTAL CENTER

NPI: 1538394531 · SALEM, MA 01970 · General Practice Dentistry · NPI assigned 05/19/2009

$17K
Total Medicaid Paid
654
Total Claims
590
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSOKOLOV, ANDREW (OWNER)
NPI Enumeration Date05/19/2009

Related Entities

Other providers sharing the same authorized official: SOKOLOV, ANDREW

ProviderCityStateTotal Paid
ALEGRE DENTAL CENTER LYNN MA $2.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 111 $3K
2023 279 $8K
2024 264 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 230 220 $11K
D1330 274 256 $4K
D0120 Periodic oral evaluation - established patient 70 66 $2K
D0220 Intraoral - periapical first radiographic image 42 36 $525.00
D0230 Intraoral - periapical each additional radiographic image 38 12 $221.00