Medicaid Provider Spending

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

D&K DENTAL LLC

NPI: 1780964189 · NASHUA, NH 03062 · Dentist · NPI assigned 08/17/2011

$39K
Total Medicaid Paid
1,426
Total Claims
1,352
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialWHELAN, KELLY (DENTIST)
NPI Enumeration Date08/17/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 460 $12K
2019 704 $20K
2020 262 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 405 400 $12K
D1120 Prophylaxis - child 326 322 $12K
D1208 Topical application of fluoride, excluding varnish 481 475 $9K
D1110 Prophylaxis - adult 64 61 $3K
D1351 Sealant - per tooth 69 13 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $684.00
D0220 Intraoral - periapical first radiographic image 29 29 $206.08
D0230 Intraoral - periapical each additional radiographic image 27 27 $137.24
D1999 13 13 $0.00