Medicaid Provider Spending

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

NPI: 1922179340 · STAFFORD SPRINGS, CT 06076 · General Practice Dentistry · NPI assigned 11/10/2006

$8K
Total Medicaid Paid
212
Total Claims
204
Beneficiaries
3
Codes Billed
2018-04
First Month
2022-08
Last Month

Provider Details

Authorized OfficialDANIELS, FREDERICK (MEMBER)
NPI Enumeration Date11/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98 $4K
2019 62 $2K
2020 13 $586.04
2021 24 $882.00
2022 15 $586.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 131 126 $6K
D0120 Periodic oral evaluation - established patient 69 66 $2K
D1206 Topical application of fluoride varnish 12 12 $341.04