Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOLY VINE DENTAL PLLC
NPI: 1801665286 · ABINGTON, MA 02351 ·
Dental Clinic/Center
· NPI assigned 12/27/2023
$3K
Total Medicaid Paid
61
Total Claims
61
Beneficiaries
2
Codes Billed
2024-06
First Month
2024-11
Last Month
Provider Details
Authorized Official
MEGELLY, MARIAN
(DENTIST)
NPI Enumeration Date
12/27/2023
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
61
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
Prophylaxis - adult
28
28
$2K
D0150
Comprehensive oral evaluation - new or established patient
33
33
$2K