Medicaid Provider Spending

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

WAYNE SHIM DMD LLC

NPI: 1962927103 · NORTHAMPTON, MA 01060 · Dental Clinic/Center · NPI assigned 08/09/2017

$30K
Total Medicaid Paid
488
Total Claims
480
Beneficiaries
3
Codes Billed
2019-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialSHIM, WAYNE (PRESIDENT)
NPI Enumeration Date08/09/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $1K
2021 109 $13K
2022 351 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 319 316 $17K
D2751 Crown - porcelain fused to predominantly base metal 16 12 $9K
D0120 Periodic oral evaluation - established patient 153 152 $4K