Medicaid Provider Spending

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

PAVALOCK, ROBERT

NPI: 1013196385 · TERRYVILLE, CT 06786 · General Practice Dentistry · NPI assigned 11/02/2007

$26K
Total Medicaid Paid
1,084
Total Claims
1,005
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 611 $14K
2019 410 $10K
2020 63 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 449 426 $10K
D1110 Prophylaxis - adult 223 203 $6K
D0274 Bitewings - four radiographic images 148 139 $4K
D1120 Prophylaxis - child 64 64 $3K
D1208 Topical application of fluoride, excluding varnish 80 80 $2K
D0220 Intraoral - periapical first radiographic image 87 69 $883.12
D0230 Intraoral - periapical each additional radiographic image 33 24 $265.88