Medicaid Provider Spending

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

HAMPTON FAMILY DENTAL

NPI: 1912195264 · HAMPTON, NH 03842 · General Practice Dentistry · NPI assigned 10/11/2007

$9K
Total Medicaid Paid
353
Total Claims
348
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialMOUSAWI, SAYED (OWNER)
NPI Enumeration Date10/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $2K
2019 136 $3K
2020 105 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 111 109 $3K
D1206 Topical application of fluoride varnish 167 164 $3K
D1120 Prophylaxis - child 63 63 $2K
D0140 Limited oral evaluation - problem focused 12 12 $498.00