Medicaid Provider Spending

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

DENTAL TEAM OF WORCESTER LLC

NPI: 1821864901 · WORCESTER, MA 01605 · Dentist · NPI assigned 11/29/2023

$54K
Total Medicaid Paid
1,370
Total Claims
1,323
Beneficiaries
10
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAIGUIER, DIANE (OFFICE MANAGER)
NPI Enumeration Date11/29/2023

Related Entities

Other providers sharing the same authorized official: AIGUIER, DIANE

ProviderCityStateTotal Paid
WORCESTER DENTAL SMILES WORCESTER MA $466K
DENTAL SMILES OF HARTFORD, PLLC HARTFORD CT $456K
DENTAL TEAM OF SOUTH WINDSOR SOUTH WINDSOR CT $55K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,370 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 411 398 $23K
D0274 Bitewings - four radiographic images 358 348 $13K
D0120 Periodic oral evaluation - established patient 385 375 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 12 $2K
D1120 Prophylaxis - child 28 28 $2K
D0150 Comprehensive oral evaluation - new or established patient 31 30 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 19 14 $1K
D0140 Limited oral evaluation - problem focused 30 29 $1K
D1206 Topical application of fluoride varnish 32 32 $896.00
D0220 Intraoral - periapical first radiographic image 60 57 $891.00