Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › ACTON › GREAT ROAD DENTAL ASSOCIATES,P.C

GREAT ROAD DENTAL ASSOCIATES,P.C

NPI: 1548320179 · ACTON, MA 01720 · General Practice Dentistry · NPI assigned 12/12/2006

$2K
Total Medicaid Paid
68
Total Claims
65
Beneficiaries
3
Codes Billed
2023-05
First Month
2024-03
Last Month

Provider Details

Authorized OfficialKANBAR, KINAN (PRESIDENT)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: KANBAR, KINAN

ProviderCityStateTotal Paid
UNIQUE DENTAL GROUP, PC MARLBOROUGH MA $1.16M
MERRIMACK DENTAL ASSOC., PC METHUEN MA $958K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 54 $2K
2024 14 $874.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 29 29 $2K
D0120 Periodic oral evaluation - established patient 24 24 $604.00
D0220 Intraoral - periapical first radiographic image 15 12 $198.00