Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › MANCHESTER › MATHEWS FAMILY DENTAL CENTER PC

MATHEWS FAMILY DENTAL CENTER PC

NPI: 1992117725 · MANCHESTER, CT 06040 · General Practice Dentistry · NPI assigned 05/28/2014

$6K
Total Medicaid Paid
211
Total Claims
196
Beneficiaries
3
Codes Billed
2019-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialMATHEW, SHARI (DENTIST)
NPI Enumeration Date05/28/2014

Related Entities

Other providers sharing the same authorized official: MATHEW, SHARI

ProviderCityStateTotal Paid
BLOOMFIELD FAMILY DENTAL, PC BLOOMFIELD CT $12K
GLASTONBURY SMILES, PC GLASTONBURY CT $5K
LUMINOUS DENTAL LLC WATERTOWN MA $538.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 107 $4K
2021 25 $628.72
2022 34 $853.74
2024 45 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 68 63 $3K
D1208 Topical application of fluoride, excluding varnish 103 96 $2K
D0120 Periodic oral evaluation - established patient 40 37 $1K