Medicaid Provider Spending

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

SALEM FAMILY DENTAL

NPI: 1962533976 · SALEM, MA 01970 · General Practice Dentistry · NPI assigned 03/08/2007

$88K
Total Medicaid Paid
2,380
Total Claims
2,316
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialATALLAH, HASSAN (PRESIDENT)
NPI Enumeration Date03/08/2007

Related Entities

Other providers sharing the same authorized official: ATALLAH, HASSAN

ProviderCityStateTotal Paid
A & B DENTAL PC BEVERLY MA $70K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 561 $19K
2019 431 $15K
2020 157 $6K
2021 200 $7K
2022 465 $18K
2023 335 $13K
2024 231 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,012 991 $54K
D0120 Periodic oral evaluation - established patient 900 888 $20K
D0274 Bitewings - four radiographic images 185 182 $7K
D0140 Limited oral evaluation - problem focused 128 109 $5K
D0220 Intraoral - periapical first radiographic image 78 76 $1K
D0230 Intraoral - periapical each additional radiographic image 77 70 $995.00