Medicaid Provider Spending

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

SERENE DENTAL HYGIENE LLC

NPI: 1639909922 · BANGOR, ME 04401 · Dental Hygienist · NPI assigned 08/02/2024

$16K
Total Medicaid Paid
396
Total Claims
393
Beneficiaries
6
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCONNOLLY, ASHLEY (IPDH)
NPI Enumeration Date08/02/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 396 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 168 167 $4K
D1120 Prophylaxis - child 80 80 $4K
D1110 Prophylaxis - adult 53 53 $4K
D0274 Bitewings - four radiographic images 57 56 $3K
D9920 12 12 $809.16
D0220 Intraoral - periapical first radiographic image 26 25 $536.27