Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › OLD SAYBROOK › A SHORE DENTAL LLC

A SHORE DENTAL LLC

NPI: 1699213025 · OLD SAYBROOK, CT 06475 · General Practice Dentistry · NPI assigned 02/06/2017

$2K
Total Medicaid Paid
88
Total Claims
83
Beneficiaries
4
Codes Billed
2018-12
First Month
2019-06
Last Month

Provider Details

Authorized OfficialSOCARRAS, EFRAIN (DENTISTRY PRACTITIONER)
NPI Enumeration Date02/06/2017

Related Entities

Other providers sharing the same authorized official: SOCARRAS, EFRAIN

ProviderCityStateTotal Paid
LASTING SMILES OF PROSPECT PROSPECT CT $236K
PRICELESS DENTAL CARE P.C. PROSPECT CT $129K
LASTING SMILES OF SAYBROOK, LLC OLD SAYBROOK CT $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $321.60
2019 75 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 39 37 $945.60
D1110 Prophylaxis - adult 16 15 $499.20
D0120 Periodic oral evaluation - established patient 19 18 $440.30
D0274 Bitewings - four radiographic images 14 13 $321.60