Medicaid Provider Spending

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

EXCEL DENTAL OF REVERE LLC

NPI: 1972353381 · REVERE, MA 02151 · General Practice Dentistry · NPI assigned 03/26/2024

$5K
Total Medicaid Paid
87
Total Claims
86
Beneficiaries
3
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, SAMIR (MANAGING DIRECTOR)
NPI Enumeration Date03/26/2024

Related Entities

Other providers sharing the same authorized official: PATEL, SAMIR

ProviderCityStateTotal Paid
WEST CENTRAL OHIO GROUP LTD. LIMA OH $873K
SD MEDICAL CORP SPOTSWOOD NJ $726K
ARIZONA PAIN CARE CENTER, PLLC ORO VALLEY AZ $108K
THE DERMATOLOGY GROUP, INC MASON OH $97K
NAVEERA PLLC WALNUT RIDGE AR $8K
HETMIR LLC THAYER MO $8K
BERKELEY INTERNAL MEDICINE WARREN NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 87 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 42 42 $2K
D0210 Intraoral - complete series of radiographic images 23 23 $2K
D1110 Prophylaxis - adult 22 21 $1K