Medicaid Provider Spending

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

DONDICI-CHERMOL, KIMBERLY

NPI: 1164655890 · ARDMORE, PA 19003 · Pediatric Dentist · NPI assigned 08/28/2009

$20K
Total Medicaid Paid
924
Total Claims
921
Beneficiaries
8
Codes Billed
2020-10
First Month
2021-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 114 $2K
2021 810 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 259 258 $6K
D1206 Topical application of fluoride varnish 290 290 $6K
D1120 Prophylaxis - child 161 161 $4K
D1110 Prophylaxis - adult 54 53 $2K
D0274 Bitewings - four radiographic images 30 29 $966.28
D0272 Bitewings - two radiographic images 41 41 $737.79
D0603 36 36 $360.00
D1330 53 53 $265.00