Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ULTIMATE DENTAL CARE OF RANDOLPH , PC
NPI: 1831670678 · RANDOLPH, MA 02368 ·
1223G0001X
$23K
Total Medicaid Paid
767
Total Claims
739
Beneficiaries
7
Codes Billed
2019-06
First Month
2021-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
437
$15K
2020
251
$6K
2021
79
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
188
181
$9K
D0120
203
197
$5K
D1206
137
136
$3K
D0274
92
87
$3K
D0150
35
33
$1K
D1120
31
31
$1K
D1999
81
74
$0.00