Medicaid Provider Spending

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

AFFORDABLE DENTAL CENTER PC DBA PETER NIARHOS

NPI: 1548402852 · DRACUT, MA 01826 · General Practice Dentistry · NPI assigned 04/01/2009

$66K
Total Medicaid Paid
2,114
Total Claims
2,007
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialNIARHOS, PETER (PRESIDENT)
NPI Enumeration Date04/01/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 826 $29K
2019 565 $21K
2020 679 $14K
2021 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 813 793 $40K
D0120 Periodic oral evaluation - established patient 641 619 $14K
D0274 Bitewings - four radiographic images 104 101 $4K
D1208 Topical application of fluoride, excluding varnish 101 98 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 40 24 $2K
D0220 Intraoral - periapical first radiographic image 98 91 $1K
D0140 Limited oral evaluation - problem focused 26 26 $1K
D1120 Prophylaxis - child 14 14 $714.00
D1999 277 241 $0.00