Medicaid Provider Spending

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

CALL DENTAL CENTER, LLC

NPI: 1598599235 · WATERTOWN, MA 02472 · Dental Clinic/Center · NPI assigned 08/27/2024

$12K
Total Medicaid Paid
331
Total Claims
329
Beneficiaries
5
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNOVAK, SVETLANA (OWNER)
NPI Enumeration Date08/27/2024

Related Entities

Other providers sharing the same authorized official: NOVAK, SVETLANA

ProviderCityStateTotal Paid
SOUTH NATICK DENTAL, PC NATICK MA $100K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 331 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 84 84 $5K
D0150 Comprehensive oral evaluation - new or established patient 77 77 $3K
D0274 Bitewings - four radiographic images 59 59 $2K
D1208 Topical application of fluoride, excluding varnish 81 81 $819.00
D0220 Intraoral - periapical first radiographic image 30 28 $456.00