Medicaid Provider Spending

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

TSM1 LLC

NPI: 1942658869 · OXFORD, CT 06478 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/01/2016

$4K
Total Medicaid Paid
125
Total Claims
116
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialKEST, STEPHEN (OWNER)
NPI Enumeration Date06/01/2016

Related Entities

Other providers sharing the same authorized official: KEST, STEPHEN

ProviderCityStateTotal Paid
SMILE SPOT LLC SOUTHBURY CT $1.16M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 125 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 47 44 $2K
D0120 Periodic oral evaluation - established patient 47 42 $1K
D1206 Topical application of fluoride varnish 31 30 $824.18