Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WEST BROOKFIELD › NINE WEST MAIN DENTAL, LLC

NINE WEST MAIN DENTAL, LLC

NPI: 1962900639 · WEST BROOKFIELD, MA 01585 · General Practice Dentistry · NPI assigned 01/29/2018

$1.02M
Total Medicaid Paid
28,442
Total Claims
26,450
Beneficiaries
26
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHODGERNEY, AIMEE (OPERATIONNS MANAGER)
NPI Enumeration Date01/29/2018

Related Entities

Other providers sharing the same authorized official: HODGERNEY, AIMEE

ProviderCityStateTotal Paid
PEDIATRIC DENTISTRY AND ORTHODONTICS PLLC NEW BRITAIN CT $4.90M
SIMPLY ORTHODONTICS OF MARLBOROUGH, PLLC MARLBOROUGH MA $162K
SUPER DENTAL OF WORCESTER PLLC WORCESTER MA $120K
SIMPLY DENTAL OF LONDONDERRY MILES OF SMILES LONDONDERRY NH $104K
SIMPLY DENTAL AND ORTHODONTICS OF WAYLAND ,PLLC WAYLAND MA $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,905 $146K
2019 3,804 $136K
2020 3,868 $95K
2021 4,641 $133K
2022 3,654 $143K
2023 5,242 $204K
2024 3,328 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 4,203 4,094 $222K
D1120 2,675 2,647 $128K
D0120 5,467 5,346 $128K
D0274 2,848 2,778 $95K
D1206 3,779 3,742 $93K
D8670 281 274 $77K
D2392 524 333 $41K
D2391 622 399 $40K
D0140 977 922 $35K
D0150 647 629 $29K
D0220 1,976 1,865 $27K
D0330 440 433 $23K
D1351 508 134 $19K
D2150 219 97 $15K
D0230 958 795 $11K
D2751 16 12 $9K
D7140 121 44 $8K
D0272 150 148 $4K
D2160 39 27 $3K
D0210 47 44 $3K
D2140 40 18 $2K
D2393 15 12 $1K
D1208 13 13 $377.00
D9230 15 13 $273.00
D1999 1,845 1,615 $0.00
D9995 17 16 $0.00