BENECCHI DENTAL GROUP, PLLC
NPI: 1982114286
· REVERE, MA 02151
· Dental Clinic/Center
· NPI assigned 10/02/2017
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | BENECCHI, JEFFREY (OWNER DENTIST) |
| NPI Enumeration Date | 10/02/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
557 |
$19K |
| 2019 |
609 |
$20K |
| 2020 |
307 |
$11K |
| 2021 |
616 |
$21K |
| 2022 |
613 |
$17K |
| 2023 |
868 |
$32K |
| 2024 |
733 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
2,068 |
1,870 |
$100K |
| D0120 |
|
1,877 |
1,706 |
$40K |
| D0274 |
|
290 |
241 |
$9K |
| D1208 |
|
26 |
26 |
$754.00 |
| D0140 |
|
16 |
12 |
$476.00 |
| D0220 |
|
26 |
25 |
$375.00 |