Medicaid Provider Spending

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

WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC

NPI: 1811387863 · MANCHESTER, CT 06040 · Dental Clinic/Center · NPI assigned 01/29/2015

$27K
Total Medicaid Paid
336
Total Claims
317
Beneficiaries
6
Codes Billed
2019-04
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHARRISON, LISA (BUSINESS MANAGER)
NPI Enumeration Date01/29/2015

Related Entities

Other providers sharing the same authorized official: HARRISON, LISA

ProviderCityStateTotal Paid
JAMES W. SCHELLER, DDS, PA HICKORY NC $3.75M
WILD IRIS LLC WASILLA AK $284K
MIDWEST COUNSELING SERVICES, LLC WICHITA KS $96K
MANCHESTER ORAL AND IMPLANT SURGERY PLLC MANCHESTER CT $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $1K
2020 39 $1K
2021 73 $3K
2022 103 $9K
2023 69 $9K
2024 25 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9613 54 51 $9K
D0140 Limited oral evaluation - problem focused 185 176 $8K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 26 25 $5K
D9222 28 27 $3K
D0330 Panoramic radiographic image 30 25 $2K
D1999 13 13 $0.00