Medicaid Provider Spending

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

PS DENTAL OF BRISTOL

NPI: 1952014862 · BRISTOL, CT 06010 · Dental Clinic/Center · NPI assigned 01/05/2023

$42K
Total Medicaid Paid
1,838
Total Claims
1,290
Beneficiaries
11
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSINHA, PRASHANT (OWNER)
NPI Enumeration Date01/05/2023

Related Entities

Other providers sharing the same authorized official: SINHA, PRASHANT

ProviderCityStateTotal Paid
PS DENTAL LLC GLASTONBURY CT $549K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,031 $18K
2024 807 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 271 190 $7K
D0210 Intraoral - complete series of radiographic images 154 109 $7K
D0150 Comprehensive oral evaluation - new or established patient 229 151 $6K
D1206 Topical application of fluoride varnish 367 259 $6K
D0140 Limited oral evaluation - problem focused 197 128 $4K
D0120 Periodic oral evaluation - established patient 167 123 $3K
D0274 Bitewings - four radiographic images 109 92 $3K
D0220 Intraoral - periapical first radiographic image 243 168 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $1K
D1120 Prophylaxis - child 42 30 $1K
D0230 Intraoral - periapical each additional radiographic image 38 28 $420.75