Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › CHARLESTOWN › JEFFREY A GOLDMAN,D.D.S,LLC

JEFFREY A GOLDMAN,D.D.S,LLC

NPI: 1932367943 · CHARLESTOWN, MA 02129 · General Practice Dentistry · NPI assigned 05/27/2008

$3K
Total Medicaid Paid
114
Total Claims
100
Beneficiaries
3
Codes Billed
2019-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialANZALONE, SHANNON (OFFICE MANGER)
NPI Enumeration Date05/27/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $319.00
2020 63 $2K
2021 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 57 50 $1K
D1120 Prophylaxis - child 31 24 $1K
D0120 Periodic oral evaluation - established patient 26 26 $754.00