Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › MILTON › HARTE DENTAL L.L.C.

HARTE DENTAL L.L.C.

NPI: 1881256519 · MILTON, MA 02186 · General Practice Dentistry · NPI assigned 07/02/2019

$5K
Total Medicaid Paid
169
Total Claims
169
Beneficiaries
3
Codes Billed
2021-07
First Month
2023-09
Last Month

Provider Details

Authorized OfficialHARTE, KIMBERLY (MANAGER)
NPI Enumeration Date07/02/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 39 $1K
2022 75 $2K
2023 55 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 101 101 $3K
D0120 Periodic oral evaluation - established patient 56 56 $2K
D1120 Prophylaxis - child 12 12 $660.00