Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LITTLETON DENTURES & IMPLANTS PLLC

NPI: 1841640810 · LITTLETON, NH 03561 · Dentist · NPI assigned 06/20/2016

$27K
Total Medicaid Paid
920
Total Claims
879
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialBLANKSCHEN, ANGELINA (ADMINISTRATOR)
NPI Enumeration Date06/20/2016

Related Entities

Other providers sharing the same authorized official: BLANKSCHEN, ANGELINA

ProviderCityStateTotal Paid
NEW LONDON FAMILY DENTISTRY & IMPLANTS NEW LONDON CT $1.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 338 $9K
2019 382 $11K
2020 200 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 199 188 $6K
D1206 Topical application of fluoride varnish 364 353 $6K
D1110 Prophylaxis - adult 128 127 $6K
D0140 Limited oral evaluation - problem focused 110 93 $4K
D0274 Bitewings - four radiographic images 50 49 $2K
D0120 Periodic oral evaluation - established patient 55 55 $2K
D0330 Panoramic radiographic image 14 14 $487.50