Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › BELMONT › BELMONT FAMILY DENTAL CENTER, PLLC

BELMONT FAMILY DENTAL CENTER, PLLC

NPI: 1881029833 · BELMONT, NH 03220 · General Practice Dentistry · NPI assigned 09/10/2013

$432.00
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
1
Codes Billed
2018-08
First Month
2018-10
Last Month

Provider Details

Authorized OfficialVEGA, FREDRICK (OWNER)
NPI Enumeration Date09/10/2013

Related Entities

Other providers sharing the same authorized official: VEGA, FREDRICK

ProviderCityStateTotal Paid
AMAZING SMILES FAMILY DENTAL CENTER HOOKSETT NH $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $432.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 26 26 $432.00