Medicaid Provider Spending

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

SUMMER STREET DENTAL, P.C.

NPI: 1831563220 · HAVERHILL, MA 01830 · Dentist · NPI assigned 11/23/2015

$314.00
Total Medicaid Paid
14
Total Claims
13
Beneficiaries
1
Codes Billed
2019-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialKATAB, JAMES (DENTIST)
NPI Enumeration Date11/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $314.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 14 13 $314.00