Medicaid Provider Spending

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

PEACHY SMILES ASHMONT LLC

NPI: 1831345834 · DORCHESTER CENTER, MA 02124 · 1223G0001X

$19K

Total Medicaid Paid

614

Total Claims

559

Beneficiaries

9

Codes Billed

2018-06

First Month

2023-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	62	$2K
2020	131	$5K
2021	208	$8K
2022	189	$4K
2023	24	$868.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		222	208	$10K
D0120		126	122	$3K
D0274		58	54	$2K
D0210		19	18	$1K
D0150		28	27	$909.74
D0220		65	56	$781.00
D1206		25	24	$548.00
D0230		57	37	$523.00
D1120		14	13	$514.00