Medicaid Provider Spending

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

MANHATTAN BOULEVARD DENTAL ASSOCIATES, A PROFESSIONAL CORPORATION

NPI: 1750750360 · MARIETTA, GA 30067 · 122300000X

$56K
Total Medicaid Paid
9,642
Total Claims
3,166
Beneficiaries
16
Codes Billed
2018-01
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,086 $36K
2019 635 $0.00
2020 291 $4K
2021 630 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,303 558 $12K
D0210 343 280 $12K
D0150 896 383 $11K
D2392 827 125 $8K
D0140 187 97 $3K
D0120 1,766 572 $2K
D7210 23 12 $2K
D2393 162 28 $2K
D0220 429 231 $2K
D2391 81 13 $702.02
D0274 12 12 $308.70
D0230 21 15 $73.38
D0272 956 205 $21.11
D1208 1,496 372 $0.00
D0330 42 24 $0.00
D1120 1,098 239 $0.00