MAVERICK FAMILY DENTAL PC
NPI: 1912058421
· EAST BOSTON, MA 02128
· 1223G0001X
$899K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,892 |
$139K |
| 2019 |
4,066 |
$163K |
| 2020 |
3,262 |
$129K |
| 2021 |
4,842 |
$222K |
| 2022 |
4,868 |
$246K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,584 |
3,405 |
$183K |
| D0120 |
|
4,149 |
4,021 |
$100K |
| D0274 |
|
2,779 |
2,645 |
$99K |
| D2740 |
|
114 |
66 |
$79K |
| D1120 |
|
1,663 |
1,632 |
$78K |
| D0140 |
|
1,934 |
1,785 |
$73K |
| D1208 |
|
2,157 |
2,101 |
$61K |
| D7210 |
|
448 |
223 |
$60K |
| D2751 |
|
68 |
42 |
$38K |
| D2391 |
|
521 |
233 |
$31K |
| D0220 |
|
1,916 |
1,762 |
$28K |
| D0150 |
|
658 |
637 |
$28K |
| D2392 |
|
284 |
133 |
$18K |
| D0210 |
|
178 |
171 |
$12K |
| D2954 |
|
25 |
24 |
$5K |
| D0272 |
|
119 |
116 |
$3K |
| D0230 |
|
333 |
231 |
$3K |