Medicaid Provider Spending

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

NORTHBOROUGH FAMILY DENTAL, PC

NPI: 1760870497 · NORTHBOROUGH, MA 01532 · Dental Clinic/Center · NPI assigned 01/05/2015

$3K
Total Medicaid Paid
125
Total Claims
116
Beneficiaries
2
Codes Billed
2018-08
First Month
2021-02
Last Month

Provider Details

Authorized OfficialMOHEBAN, ALEXANDER (OWNER)
NPI Enumeration Date01/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $359.00
2019 47 $2K
2020 52 $1K
2021 12 $321.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 109 102 $3K
D1110 Prophylaxis - adult 16 14 $833.00