Medicaid Provider Spending

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

AMBRA DENTAL CARE, PLLC

NPI: 1629698832 · CONCORD, NH 03301 · Dental Clinic/Center · NPI assigned 04/17/2020

$2K
Total Medicaid Paid
71
Total Claims
68
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-02
Last Month

Provider Details

Authorized OfficialAMBRA, MICHAEL (DENTIST)
NPI Enumeration Date04/17/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $713.03
2023 28 $600.12
2024 15 $259.84

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 28 $849.15
D1206 Topical application of fluoride varnish 42 40 $723.84