Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › EAST LYME › ADVANTAGE DENTAL GROUP, LLC

ADVANTAGE DENTAL GROUP, LLC

NPI: 1568674331 · EAST LYME, CT 06333 · General Practice Dentistry · NPI assigned 05/04/2007

$48K
Total Medicaid Paid
1,909
Total Claims
1,825
Beneficiaries
12
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialVAN LEW, ERIN (OFFICE MANAGER)
NPI Enumeration Date05/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,396 $35K
2019 424 $10K
2020 89 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 483 480 $11K
D1110 373 372 $10K
D0140 238 227 $7K
D1120 114 114 $5K
D0220 319 275 $3K
D0274 110 109 $3K
D0272 153 150 $3K
D2392 28 16 $2K
D2391 21 13 $1K
D1208 42 42 $1K
D0330 16 15 $988.32
D0150 12 12 $483.60