Dental
Spartan Dental INC
Spartan Dental INC was paid $5K by Medicaid between Jan 2018 and Jul 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.
33Billing provider infoSPARTAN DENTAL INC
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1699113746assigned 06/11/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims264
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#71 of 86
Median peer was paid$77K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 264 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 60% | 121 | 103 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 53 | 46 | $828.00 |
| D0274 | Bitewings - four radiographic images | 16% | 43 | 37 | $814.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 47 | 39 | $390.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKOUTROS, ELIAS (PRESIDENT)