Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
CT
›
WEST HARTFORD
› MODERN DENTAL, INC
MODERN DENTAL, INC
NPI: 1609009588 · WEST HARTFORD, CT 06117 ·
122300000X
$223K
Total Medicaid Paid
8,666
Total Claims
8,172
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,404
$38K
2019
1,029
$26K
2020
789
$21K
2021
1,455
$33K
2022
1,488
$37K
2023
1,352
$37K
2024
1,149
$32K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0274
1,927
1,848
$56K
D1110
1,338
1,271
$42K
D1208
2,128
2,060
$41K
D0120
1,825
1,743
$40K
D1120
402
392
$17K
D0140
339
302
$8K
D0150
153
149
$7K
D0220
407
279
$4K
D0191
82
73
$3K
D2954
18
12
$2K
D0330
28
25
$2K
D0210
19
18
$787.80