Medicaid Provider Spending

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

MONADNOCK DENTAL ASSOCIATES PLLC

NPI: 1912176744 · JAFFREY, NH 03452 · Dentist · NPI assigned 02/26/2008

$16K
Total Medicaid Paid
606
Total Claims
552
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialBROOME, ZANE (OWNER DENTIST)
NPI Enumeration Date02/26/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 272 $8K
2019 145 $4K
2020 27 $817.70
2021 55 $1K
2022 107 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 370 348 $10K
D1110 Prophylaxis - adult 62 57 $3K
D1206 Topical application of fluoride varnish 143 120 $2K
D1120 Prophylaxis - child 31 27 $940.68