Medicaid Provider Spending

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

MARLBORO DMD GROUP

NPI: 1902077761 · MARLBOROUGH, MA 01752 · General Practice Dentistry · NPI assigned 03/19/2008

$55K
Total Medicaid Paid
1,428
Total Claims
1,405
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDULALA, RAJ (OWNER)
NPI Enumeration Date03/19/2008

Related Entities

Other providers sharing the same authorized official: DULALA, RAJ

ProviderCityStateTotal Paid
METROWEST DENTAL GROUP MILFORD MA $74K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $8K
2019 175 $8K
2020 186 $7K
2021 216 $7K
2022 291 $11K
2023 244 $8K
2024 154 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 817 810 $43K
D0120 Periodic oral evaluation - established patient 461 452 $10K
D0220 Intraoral - periapical first radiographic image 133 128 $2K
D0230 Intraoral - periapical each additional radiographic image 17 15 $221.00