Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › PORTLAND › 260 MAIN ST PORTLAND INC

260 MAIN ST PORTLAND INC

NPI: 1659946085 · PORTLAND, CT 06480 · Dental Clinic/Center · NPI assigned 05/27/2021

$7K
Total Medicaid Paid
200
Total Claims
185
Beneficiaries
2
Codes Billed
2023-12
First Month
2024-07
Last Month

Provider Details

Authorized OfficialWANG, LONGQIAN (PRESIDENT)
NPI Enumeration Date05/27/2021

Related Entities

Other providers sharing the same authorized official: WANG, LONGQIAN

ProviderCityStateTotal Paid
RELIABLE DENTAL WATERBURY INC. WATERBURY CT $1.50M
3885 MAIN ST BRIDGEPORT DENTAL INC BRIDGEPORT CT $775K
RELIABLE DENTAL ORANGE INC. ORANGE CT $489K
RELIABLE DENTAL MILFORD INC. MILFORD CT $116K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 45 $2K
2024 155 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 106 104 $4K
D0150 Comprehensive oral evaluation - new or established patient 94 81 $3K