Medicaid Provider Spending

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

WOW DENTAL FOR KIDS INC

NPI: 1922455542 · WALTHAM, MA 02452 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/24/2016

$29K
Total Medicaid Paid
935
Total Claims
873
Beneficiaries
5
Codes Billed
2018-03
First Month
2020-09
Last Month

Provider Details

Authorized OfficialCHEN, CHUN YU (OWNER)
NPI Enumeration Date05/24/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 231 $7K
2019 370 $12K
2020 334 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 365 340 $16K
D1206 Topical application of fluoride varnish 356 330 $8K
D0120 Periodic oral evaluation - established patient 144 135 $4K
D0272 Bitewings - two radiographic images 54 52 $2K
D9999 Unspecified adjunctive procedure, by report 16 16 $0.00