Medicaid Provider Spending

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

FELICETTI, DAWN

NPI: 1154537314 · MASSAPEQUA PARK, NY 11762 · Pediatric Dentist · NPI assigned 05/15/2007

$46K
Total Medicaid Paid
1,763
Total Claims
1,733
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $1K
2021 333 $12K
2022 825 $21K
2023 423 $9K
2024 167 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 466 439 $34K
D1120 Prophylaxis - child 284 284 $5K
D1206 Topical application of fluoride varnish 303 303 $4K
D0120 Periodic oral evaluation - established patient 194 194 $2K
D0220 Intraoral - periapical first radiographic image 179 177 $410.05
D0272 Bitewings - two radiographic images 79 79 $226.80
D0230 Intraoral - periapical each additional radiographic image 113 112 $180.00
D0603 93 93 $81.00
D1330 26 26 $0.00
D1310 26 26 $0.00