Medicaid Provider Spending

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

ADVANCED DENTISTRY LLC

NPI: 1851602445 · WOBURN, MA 01801 · Dental Clinic/Center · NPI assigned 06/29/2010

$5K
Total Medicaid Paid
305
Total Claims
262
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialGOLI, SANDHYA (DMD/OWNER)
NPI Enumeration Date06/29/2010

Related Entities

Other providers sharing the same authorized official: GOLI, SANDHYA

ProviderCityStateTotal Paid
ADVANCED DENTAL CARE SOMERVILLE MA $124K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $3K
2020 146 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 102 97 $2K
D0120 Periodic oral evaluation - established patient 66 65 $1K
D0230 Intraoral - periapical each additional radiographic image 93 59 $1K
D0274 Bitewings - four radiographic images 31 29 $1K
D1999 13 12 $0.00