Medicaid Provider Spending

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

NPI: 1861853095 · WOLFEBORO, NH 03894 · General Practice Dentistry · NPI assigned 03/16/2016

$11K
Total Medicaid Paid
365
Total Claims
358
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialSIMPSON, CHARLES (DENTIST/OWNER)
NPI Enumeration Date03/16/2016

Related Entities

Other providers sharing the same authorized official: SIMPSON, CHARLES

ProviderCityStateTotal Paid
DOWNTOWN CHIROPRACTIC AND WELLNESS CENTER PA OCALA FL $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143 $5K
2019 61 $2K
2020 110 $3K
2021 51 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 207 201 $6K
D1110 Prophylaxis - adult 51 50 $3K
D1208 Topical application of fluoride, excluding varnish 95 95 $2K
D1120 Prophylaxis - child 12 12 $456.00