Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › GASPORT › WILLIAM J MARTELL

WILLIAM J MARTELL

NPI: 1144453952 · GASPORT, NY 14067 · General Practice Dentistry · NPI assigned 08/27/2009

$5K
Total Medicaid Paid
167
Total Claims
167
Beneficiaries
2
Codes Billed
2019-02
First Month
2021-08
Last Month

Provider Details

Authorized OfficialMARTELL, WILLIAM (OWNER, GENERAL DENTIST)
NPI Enumeration Date08/27/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 40 $975.00
2020 30 $792.50
2021 97 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 125 125 $3K
D1110 Prophylaxis - adult 42 42 $2K