Medicaid Provider Spending

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

BRIANNA RAFETTO DMD PA

NPI: 1033780457 · MIDDLETOWN, DE 19709 · General Practice Dentistry · NPI assigned 07/07/2021

$23K
Total Medicaid Paid
966
Total Claims
852
Beneficiaries
7
Codes Billed
2022-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAFETTO, BRIANNA (OWNER / DENTIST)
NPI Enumeration Date07/07/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 522 $13K
2023 241 $4K
2024 203 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 271 241 $10K
D1208 Topical application of fluoride, excluding varnish 223 199 $5K
D1110 Prophylaxis - adult 79 68 $5K
D0220 Intraoral - periapical first radiographic image 86 78 $2K
D0230 Intraoral - periapical each additional radiographic image 69 52 $977.83
D1120 Prophylaxis - child 16 12 $617.32
D0602 222 202 $0.00