Medicaid Provider Spending

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

SMALL 4 ALL

NPI: 1881322444 · SHREWSBURY, MA 01545 · Dental Clinic/Center · NPI assigned 08/11/2022

$12K
Total Medicaid Paid
321
Total Claims
317
Beneficiaries
7
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMALL, ANDREW (OWNER)
NPI Enumeration Date08/11/2022

Related Entities

Other providers sharing the same authorized official: SMALL, ANDREW

ProviderCityStateTotal Paid
JST THERAPY SOLUTIONS WICHITA KS $362K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 321 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 82 82 $3K
D0150 Comprehensive oral evaluation - new or established patient 52 52 $2K
D0210 Intraoral - complete series of radiographic images 27 27 $2K
D1110 Prophylaxis - adult 29 29 $2K
D0220 Intraoral - periapical first radiographic image 93 89 $1K
D0274 Bitewings - four radiographic images 12 12 $502.00
D0230 Intraoral - periapical each additional radiographic image 26 26 $385.00