Medicaid Provider Spending

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

NPI: 1639584717 · PROVIDENCE, RI 02907 · Dentist · NPI assigned 06/26/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$178K
Total Medicaid Paid
6,625
Total Claims
6,130
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date06/26/2014

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal Paid
PROSPECT WATERBURY, INC. WATERBURY CT $84.62M
PROSPECT MANCHESTER HOSPITAL, INC. MANCHESTER CT $69.20M
PROSPECT CHARTERCARE RWMC, LLC PROVIDENCE RI $57.10M
PROSPECT CCMC, LLC CHESTER PA $40.89M
PROSPECT CT MEDICAL FOUNDATION, INC. MANCHESTER CT $34.07M
PROSPECT ROCKVILLE HOSPITAL, INC. VERNON CT $30.06M
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $10.94M
PROSPECT DCMH, LLC DREXEL HILL PA $10.37M
PROSPECT CCMC, LLC CHESTER PA $5.46M
ALTA LOS ANGELES HOSPITALS, INC. LOS ANGELES CA $5.42M
PROSPECT CCMC, LLC CHESTER PA $5.03M
PROSPECT CCMC, LLC CHESTER PA $3.71M
PROSPECT CHARTERCARE PHYSICIANS, LLC CRANSTON RI $2.31M
PROSPECT ECHN HOME HEALTH, INC. VERNON CT $1.75M
PROSPECT WATERBURY HOME HEALTH, INC. WATERTOWN CT $1.30M
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $1.22M
ALTA NEWPORT HOSPITAL, LLC TUSTIN CA $1.16M
PROSPECT HEALTH ACCESS NETWORK, INC. CRUM LYNNE PA $924K
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $872K
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $858K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,278 $62K
2019 2,115 $61K
2020 625 $15K
2021 678 $13K
2022 594 $15K
2023 335 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 2,597 2,470 $105K
D0120 Periodic oral evaluation - established patient 2,154 2,028 $37K
D0274 Bitewings - four radiographic images 470 452 $10K
D0220 Intraoral - periapical first radiographic image 621 557 $6K
D7140 Extraction, erupted tooth or exposed root 137 65 $6K
D0140 Limited oral evaluation - problem focused 176 168 $4K
D0330 Panoramic radiographic image 72 70 $3K
D1206 Topical application of fluoride varnish 175 161 $2K
D0210 Intraoral - complete series of radiographic images 26 25 $2K
D1208 Topical application of fluoride, excluding varnish 48 48 $1K
D0150 Comprehensive oral evaluation - new or established patient 50 48 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 15 13 $642.00
D0230 Intraoral - periapical each additional radiographic image 84 25 $432.00