Medicaid Provider Spending

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

HOPKINTON SQUARE DENTAL, PC

NPI: 1962756536 · HOPKINTON, MA 01748 · Dentist · NPI assigned 11/05/2012

$58K
Total Medicaid Paid
1,769
Total Claims
1,543
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialDHAMI, JAS (BUSINESS MANAGER)
NPI Enumeration Date11/05/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 576 $21K
2019 708 $23K
2020 485 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 843 744 $38K
D0120 Periodic oral evaluation - established patient 593 523 $12K
D0274 Bitewings - four radiographic images 80 69 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 53 14 $2K
D1120 Prophylaxis - child 30 28 $1K
D0220 Intraoral - periapical first radiographic image 70 69 $1K
D0230 Intraoral - periapical each additional radiographic image 58 55 $748.00
D1206 Topical application of fluoride varnish 26 25 $650.00
D1208 Topical application of fluoride, excluding varnish 16 16 $464.00