Medicaid Provider Spending

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

LUMINOUS DENTISTRY LLC

NPI: 1710692702 · WAKEFIELD, MA 01880 · Dental Clinic/Center · NPI assigned 01/13/2023

$2K
Total Medicaid Paid
41
Total Claims
38
Beneficiaries
2
Codes Billed
2023-09
First Month
2024-05
Last Month

Provider Details

Authorized OfficialAHMED, MOHAMMED BASEER (DENTIST)
NPI Enumeration Date01/13/2023

Related Entities

Other providers sharing the same authorized official: AHMED, MOHAMMED BASEER

ProviderCityStateTotal Paid
SEA CORAL DENTISTRY PC GLOUCESTER MA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $974.00
2024 16 $649.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 29 26 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $419.00