Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NH › DOVER › DAVID B STAPLES DDS & NICHOLAS KANELOS JR DMD

DAVID B STAPLES DDS & NICHOLAS KANELOS JR DMD

NPI: 1235153909 · DOVER, NH 03820 · General Practice Dentistry · NPI assigned 07/27/2006

$2K
Total Medicaid Paid
62
Total Claims
53
Beneficiaries
2
Codes Billed
2018-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialKANELOS, NICHOLAS (DENTIST/OWNER)
NPI Enumeration Date07/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $676.00
2021 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 31 25 $1K
D0120 Periodic oral evaluation - established patient 31 28 $758.88