Medicaid Provider Spending

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

THE CENTER FOR PEDIATRIC DENTAL CARE, LLC

NPI: 1942546577 · BROOKLINE, MA 02446 · Pediatric Dentist · NPI assigned 01/01/2013

$78K
Total Medicaid Paid
2,292
Total Claims
2,167
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialWEISS, ARNOLD (PRESIDENT)
NPI Enumeration Date01/01/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 827 $28K
2019 579 $19K
2020 387 $15K
2021 499 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 720 684 $34K
D1206 Topical application of fluoride varnish 1,156 1,080 $27K
D1110 Prophylaxis - adult 149 145 $9K
D0120 Periodic oral evaluation - established patient 240 232 $7K
D0272 Bitewings - two radiographic images 27 26 $780.00