Medicaid Provider Spending

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

ADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC

NPI: 1891244950 · WESTPORT, CT 06880 · General Practice Dentistry · NPI assigned 09/29/2016

$4K
Total Medicaid Paid
147
Total Claims
130
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialFREEMAN, ADAM (PRESIDENT)
NPI Enumeration Date09/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 34 34 $1K
D0120 36 36 $763.70
D0274 15 15 $484.80
D0220 37 20 $470.44
D1120 13 13 $450.80
D0140 12 12 $299.52