Medicaid Provider Spending

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

WATERFORD DENTAL ASSOCIATES PC

NPI: 1720083934 · WATERFORD, CT 06385 · Dental Hygienist · NPI assigned 06/15/2005

$4K
Total Medicaid Paid
103
Total Claims
99
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialCIANCIULLI, VINCENT (PRESIDENT)
NPI Enumeration Date06/15/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 103 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 52 50 $2K
D0120 Periodic oral evaluation - established patient 51 49 $2K