Medicaid Provider Spending

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

PENNINGTON ORTHODONTICS & PEDIATRIC DENTISTRY, LLC

NPI: 1225541337 · PENNINGTON, NJ 08534 · Dentist · NPI assigned 11/10/2017

$13K
Total Medicaid Paid
995
Total Claims
723
Beneficiaries
10
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVAGNOZZI-BUCCI, DONNA (OWNER)
NPI Enumeration Date11/10/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 995 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 133 127 $3K
D0150 Comprehensive oral evaluation - new or established patient 103 99 $3K
D9920 282 81 $3K
D1206 Topical application of fluoride varnish 138 130 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 63 50 $800.00
D0220 Intraoral - periapical first radiographic image 97 88 $380.00
D0603 35 29 $350.00
D0120 Periodic oral evaluation - established patient 15 14 $270.00
D0230 Intraoral - periapical each additional radiographic image 89 66 $243.00
D0272 Bitewings - two radiographic images 40 39 $175.00