Medicaid Provider Spending

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

AGAWAM DENTAL CARE PC

NPI: 1558446310 · FEEDING HILLS, MA 01030 · General Practice Dentistry · NPI assigned 10/27/2006

$4K
Total Medicaid Paid
177
Total Claims
170
Beneficiaries
3
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPAHL, RONALD (PRESIDENT)
NPI Enumeration Date10/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $0.00
2021 28 $380.00
2022 40 $833.00
2023 70 $2K
2024 24 $603.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 122 120 $3K
D1110 Prophylaxis - adult 26 26 $1K
D1999 29 24 $0.00