Medicaid Provider Spending

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

BERLIN DENTAL CARE

NPI: 1942854963 · BERLIN, NH 03570 · Dental Clinic/Center · NPI assigned 07/29/2019

$6K
Total Medicaid Paid
237
Total Claims
228
Beneficiaries
5
Codes Billed
2019-10
First Month
2023-08
Last Month

Provider Details

Authorized OfficialKRUYSMAN, KERRY (OFFICE MANAGER)
NPI Enumeration Date07/29/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 33 $776.00
2020 88 $2K
2021 39 $994.48
2022 65 $1K
2023 12 $236.52

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 78 76 $2K
D1208 Topical application of fluoride, excluding varnish 118 114 $2K
D1120 Prophylaxis - child 14 13 $509.34
D1110 Prophylaxis - adult 13 12 $506.97
D0274 Bitewings - four radiographic images 14 13 $428.87