Medicaid Provider Spending

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

NPI: 1952865784 · GLASTONBURY, CT 06033 · Dental Clinic/Center · NPI assigned 01/25/2019

$5K
Total Medicaid Paid
208
Total Claims
187
Beneficiaries
5
Codes Billed
2020-07
First Month
2023-04
Last Month

Provider Details

Authorized OfficialMATHEW, SHARI (OWNER)
NPI Enumeration Date01/25/2019

Related Entities

Other providers sharing the same authorized official: MATHEW, SHARI

ProviderCityStateTotal Paid
BLOOMFIELD FAMILY DENTAL, PC BLOOMFIELD CT $12K
MATHEWS FAMILY DENTAL CENTER PC MANCHESTER CT $6K
LUMINOUS DENTAL LLC WATERTOWN MA $538.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 41 $767.22
2021 51 $1K
2022 73 $2K
2023 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 68 57 $2K
D1208 Topical application of fluoride, excluding varnish 72 66 $1K
D0120 Periodic oral evaluation - established patient 43 39 $909.50
D1120 Prophylaxis - child 13 13 $586.04
D0274 Bitewings - four radiographic images 12 12 $246.72