Medicaid Provider Spending

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

FAMILY DENTAL CARE LLC

NPI: 1598810731 · WOLCOTT, CT 06716 · Dentist · NPI assigned 01/25/2007

$51K
Total Medicaid Paid
1,793
Total Claims
1,769
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialNADIMI, ABDOLLAH (OWNER)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,793 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 492 488 $12K
D1110 Prophylaxis - adult 339 335 $11K
D1120 Prophylaxis - child 229 229 $10K
D0272 Bitewings - two radiographic images 312 310 $7K
D1208 Topical application of fluoride, excluding varnish 232 232 $6K
D0140 Limited oral evaluation - problem focused 84 82 $2K
D0150 Comprehensive oral evaluation - new or established patient 57 49 $2K
D0220 Intraoral - periapical first radiographic image 48 44 $478.42