Medicaid Provider Spending

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

LYNN DENTAL CENTER

NPI: 1689946923 · LYNN, MA 01901 · Dentist · NPI assigned 02/02/2012

$93K
Total Medicaid Paid
3,134
Total Claims
2,914
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialRAHMATPOUR, MEHDI (PRISEDENT)
NPI Enumeration Date02/02/2012

Related Entities

Other providers sharing the same authorized official: RAHMATPOUR, MEHDI

ProviderCityStateTotal Paid
EAST BOSTON FAMILY DENTAL CENTER EAST BOSTON MA $3.13M
CENTRE STREET DENTAL CARE JAMAICA PLAIN MA $773K
SMILE DENTAL CENTER EAST BOSTON MA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,548 $71K
2019 586 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 541 493 $24K
D0120 Periodic oral evaluation - established patient 750 684 $18K
D1208 Topical application of fluoride, excluding varnish 650 590 $17K
D1110 Prophylaxis - adult 220 212 $12K
D0220 Intraoral - periapical first radiographic image 322 311 $5K
D0274 Bitewings - four radiographic images 142 140 $5K
D0272 Bitewings - two radiographic images 160 155 $5K
D0230 Intraoral - periapical each additional radiographic image 293 276 $4K
D0150 Comprehensive oral evaluation - new or established patient 56 53 $2K