Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LASTING SMILES OF SAYBROOK, LLC

NPI: 1952950735 · OLD SAYBROOK, CT 06475 · Public Health Dentist · NPI assigned 09/05/2019

$3K
Total Medicaid Paid
99
Total Claims
89
Beneficiaries
5
Codes Billed
2019-12
First Month
2020-08
Last Month

Provider Details

Authorized OfficialSOCARRAS, EFRAIN (DENTIST)
NPI Enumeration Date09/05/2019

Related Entities

Other providers sharing the same authorized official: SOCARRAS, EFRAIN

ProviderCityStateTotal Paid
LASTING SMILES OF PROSPECT PROSPECT CT $236K
PRICELESS DENTAL CARE P.C. PROSPECT CT $129K
A SHORE DENTAL LLC OLD SAYBROOK CT $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $432.64
2020 86 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 14 $1K
D1110 Prophylaxis - adult 37 37 $1K
D0140 Limited oral evaluation - problem focused 13 12 $321.60
D0120 Periodic oral evaluation - established patient 12 12 $250.60
D1320 14 14 $56.29