Medicaid Provider Spending

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

BERWICK DENTAL ARTS INC

NPI: 1104906650 · BERWICK, PA 18603 · General Practice Dentistry · NPI assigned 10/17/2006

$9K
Total Medicaid Paid
435
Total Claims
434
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialDEFINNIS, JOHN (PRESIDENT)
NPI Enumeration Date10/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $3K
2019 133 $3K
2020 73 $1K
2021 67 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 170 170 $5K
D0120 Periodic oral evaluation - established patient 224 223 $4K
D0272 Bitewings - two radiographic images 28 28 $308.30
D1208 Topical application of fluoride, excluding varnish 13 13 $168.48