Medicaid Provider Spending

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

NPI: 1770273146 · SOUTHBOROUGH, MA 01772 · Dental Clinic/Center · NPI assigned 05/10/2023

$1K
Total Medicaid Paid
27
Total Claims
25
Beneficiaries
2
Codes Billed
2023-09
First Month
2024-02
Last Month

Provider Details

Authorized OfficialLACLAIR, ALICIA (DIRECTOR OF OPERATIONS)
NPI Enumeration Date05/10/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $252.00
2024 13 $860.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 13 13 $860.00
D1206 Topical application of fluoride varnish 14 12 $252.00