Medicaid Provider Spending

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

BEST WAY DENTAL SERVICES, LLC

NPI: 1790397776 · WILLIMANTIC, CT 06226 · Dental Clinic/Center · NPI assigned 08/20/2020

$503K
Total Medicaid Paid
14,472
Total Claims
12,238
Beneficiaries
20
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUAZO, HECTOR (DENTIST)
NPI Enumeration Date08/20/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 76 $3K
2021 1,799 $57K
2022 2,563 $75K
2023 4,817 $183K
2024 5,217 $184K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,230 631 $75K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 930 567 $71K
D1110 Prophylaxis - adult 1,766 1,702 $64K
D0120 Periodic oral evaluation - established patient 1,937 1,887 $46K
D0140 Limited oral evaluation - problem focused 1,353 1,284 $40K
D0274 Bitewings - four radiographic images 1,029 1,008 $32K
D2330 508 238 $31K
D1120 Prophylaxis - child 682 677 $30K
D0220 Intraoral - periapical first radiographic image 1,895 1,824 $23K
D0230 Intraoral - periapical each additional radiographic image 1,725 1,083 $19K
D0150 Comprehensive oral evaluation - new or established patient 378 367 $17K
D1208 Topical application of fluoride, excluding varnish 576 573 $16K
D0210 Intraoral - complete series of radiographic images 217 210 $14K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 92 73 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 41 24 $4K
D7250 24 12 $4K
D0330 Panoramic radiographic image 39 37 $2K
D2332 15 12 $2K
D7140 Extraction, erupted tooth or exposed root 18 16 $1K
D2940 17 13 $480.00