Medicaid Provider Spending

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

JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED

NPI: 1710191366 · BRIDGEPORT, CT 06604 · Dentist · NPI assigned 05/10/2007

$40K
Total Medicaid Paid
2,299
Total Claims
2,051
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialROBINSON, SHEILA (AR SUPERVISOR)
NPI Enumeration Date05/10/2007

Related Entities

Other providers sharing the same authorized official: ROBINSON, SHEILA

ProviderCityStateTotal Paid
JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED BRIDGEPORT CT $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 439 $9K
2019 294 $4K
2020 360 $5K
2021 505 $8K
2022 233 $5K
2023 258 $6K
2024 210 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,005 901 $25K
D1208 Topical application of fluoride, excluding varnish 1,029 912 $12K
D0120 Periodic oral evaluation - established patient 250 226 $3K
D0140 Limited oral evaluation - problem focused 15 12 $274.56