Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › SOUTH BOSTON › SOUTH BOSTON FAMILY DENTAL LLC

SOUTH BOSTON FAMILY DENTAL LLC

NPI: 1730598871 · SOUTH BOSTON, MA 02127 · Dentist · NPI assigned 08/02/2014

$5K
Total Medicaid Paid
128
Total Claims
123
Beneficiaries
2
Codes Billed
2021-08
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLIU, CONNIE (OFFICE MANAGER)
NPI Enumeration Date08/02/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $1K
2022 14 $308.00
2023 62 $2K
2024 24 $996.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 55 53 $3K
D1206 Topical application of fluoride varnish 73 70 $2K