Medicaid Provider Spending

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

SMATLAK & GISLIOTTI, DMD, PC

NPI: 1104902873 · PUNXSUTAWNEY, PA 15767 · General Practice Dentistry · NPI assigned 10/27/2006

$28K
Total Medicaid Paid
1,129
Total Claims
1,120
Beneficiaries
5
Codes Billed
2021-04
First Month
2024-06
Last Month

Provider Details

Authorized OfficialGIGLIOTTI, AMY (DENTIST PRESIDENT)
NPI Enumeration Date10/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 740 $18K
2024 389 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 406 403 $14K
D0120 Periodic oral evaluation - established patient 558 553 $10K
D0274 Bitewings - four radiographic images 92 92 $3K
D1206 Topical application of fluoride varnish 61 60 $1K
D1120 Prophylaxis - child 12 12 $360.00