Medicaid Provider Spending

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

A & S DENTAL WELLNESS CENTER OF LOWELL, P. C.

NPI: 1952066110 · LOWELL, MA 01852 · Dentist · NPI assigned 11/03/2021

$91K
Total Medicaid Paid
2,939
Total Claims
2,621
Beneficiaries
9
Codes Billed
2021-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLI, YIJIA (PRESIDENT)
NPI Enumeration Date11/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 352 $11K
2022 1,207 $47K
2023 685 $17K
2024 695 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 618 550 $30K
D2740 Crown - porcelain/ceramic 20 14 $15K
D0274 Bitewings - four radiographic images 431 399 $14K
D0120 Periodic oral evaluation - established patient 695 604 $14K
D0220 Intraoral - periapical first radiographic image 612 554 $9K
D0230 Intraoral - periapical each additional radiographic image 476 413 $6K
D1206 Topical application of fluoride varnish 58 58 $2K
D1120 Prophylaxis - child 17 17 $927.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $630.00