Medicaid Provider Spending

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

WELLINGTON CIRCLE DENTAL PC

NPI: 1568690808 · MEDFORD, MA 02155 · General Practice Dentistry · NPI assigned 06/25/2009

$81K
Total Medicaid Paid
2,637
Total Claims
2,368
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, JUNGWOO (PRESIDENT)
NPI Enumeration Date06/25/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 616 $15K
2019 271 $6K
2020 323 $7K
2021 188 $6K
2022 299 $12K
2023 502 $18K
2024 438 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,099 1,002 $53K
D0120 Periodic oral evaluation - established patient 840 769 $18K
D0220 Intraoral - periapical first radiographic image 322 275 $4K
D0274 Bitewings - four radiographic images 99 92 $3K
D0210 Intraoral - complete series of radiographic images 33 29 $2K
D0230 Intraoral - periapical each additional radiographic image 170 131 $2K
D1999 74 70 $0.00