Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EAST STROUDSBURG
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POCONO KIDS DENTAL
NPI: 1164590998 · EAST STROUDSBURG, PA 18301 ·
122300000X
$32K
Total Medicaid Paid
1,316
Total Claims
1,280
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
55
$1K
2021
370
$8K
2024
891
$23K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
480
476
$8K
D1120
220
220
$7K
D0120
301
300
$6K
D2392
69
39
$4K
D1110
84
83
$3K
D0150
61
61
$1K
D0272
60
60
$960.00
D1354
12
12
$750.00
D1330
16
16
$177.28
D1310
13
13
$141.31