Medicaid Provider Spending

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

BRANFORD DENTAL CARE PARTNERSHIP

NPI: 1568794410 · BRANFORD, CT 06405 · General Practice Dentistry · NPI assigned 02/03/2010

$32K
Total Medicaid Paid
917
Total Claims
897
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialHACKER, ROBERT (PARTNER)
NPI Enumeration Date02/03/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 917 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 259 257 $11K
D0120 Periodic oral evaluation - established patient 285 284 $8K
D1208 Topical application of fluoride, excluding varnish 241 239 $6K
D0274 Bitewings - four radiographic images 81 78 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 12 $2K
D1110 Prophylaxis - adult 28 27 $765.44