Medicaid Provider Spending

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

MONROE FAMILY DENTISTRY LLC

NPI: 1982079570 · MONROE, CT 06468 · Dental Clinic/Center · NPI assigned 12/08/2015

$51K
Total Medicaid Paid
1,578
Total Claims
1,556
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialYASEEN, SIDRA (CEO)
NPI Enumeration Date12/08/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 635 $20K
2019 605 $21K
2020 338 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 440 435 $19K
D0120 Periodic oral evaluation - established patient 366 363 $12K
D1208 Topical application of fluoride, excluding varnish 412 407 $11K
D0274 Bitewings - four radiographic images 84 82 $4K
D0220 Intraoral - periapical first radiographic image 147 144 $3K
D0230 Intraoral - periapical each additional radiographic image 129 125 $2K