Medicaid Provider Spending

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

NICHOLAS T GOLBA DDS PLLC

NPI: 1235642554 · MARQUETTE, MI 49855 · General Practice Dentistry · NPI assigned 11/08/2017

$36K
Total Medicaid Paid
450
Total Claims
148
Beneficiaries
4
Codes Billed
2018-10
First Month
2021-07
Last Month

Provider Details

Authorized OfficialGOLBA, NICHOLAS (OWNER)
NPI Enumeration Date11/08/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $648.00
2020 399 $34K
2021 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 326 27 $31K
D0210 Intraoral - complete series of radiographic images 60 59 $3K
D0150 Comprehensive oral evaluation - new or established patient 50 49 $2K
D1110 Prophylaxis - adult 14 13 $648.00