Medicaid Provider Spending

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

NPI: 1578059846 · POCASSET, MA 02559 · General Practice Dentistry · NPI assigned 07/10/2018

$14K
Total Medicaid Paid
396
Total Claims
390
Beneficiaries
5
Codes Billed
2019-07
First Month
2024-01
Last Month

Provider Details

Authorized OfficialCOSTA, MARDY (ADMINISTRATOR)
NPI Enumeration Date07/10/2018

Related Entities

Other providers sharing the same authorized official: COSTA, MARDY

ProviderCityStateTotal Paid
ALPHA DENTAL CENTER OF TAUNTON, LLC TAUNTON MA $1.43M
ALPHA DENTAL CENTER OF TAUNTON, LLC TAUNTON MA $165K
MANSFIELD FAMILY DENTAL, LLC MANSFIELD MA $101K
ALPHA DENTAL CENTER OF DARTMOUTH, LLC N DARTMOUTH MA $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $312.00
2020 28 $764.00
2021 54 $2K
2022 128 $5K
2023 160 $6K
2024 13 $364.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 230 227 $6K
D1120 Prophylaxis - child 73 73 $4K
D1110 Prophylaxis - adult 26 26 $2K
D0120 Periodic oral evaluation - established patient 54 51 $1K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $806.00