Medicaid Provider Spending

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

NPI: 1588328926 · WINCHENDON, MA 01475 · General Practice Dentistry · NPI assigned 10/22/2021

$6K
Total Medicaid Paid
170
Total Claims
167
Beneficiary Records
5
Codes Billed
2023-03
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWARREN, JENNIFER (GENERAL MANAGER)
NPI Enumeration Date10/22/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 107 $3K
2024 63 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 49 49 $2K
D1206 Topical application of fluoride varnish 52 52 $1K
D0180 26 25 $1K
D0120 Periodic oral evaluation - established patient 13 13 $403.00
D9450 30 28 $0.00