Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › MOON TOWNSHIP › IANNESSA PEDIATRIC DENTISTRY, P.C.

IANNESSA PEDIATRIC DENTISTRY, P.C.

NPI: 1255650297 · MOON TOWNSHIP, PA 15108 · Pediatric Dentist · NPI assigned 05/28/2010

$1K
Total Medicaid Paid
66
Total Claims
66
Beneficiaries
4
Codes Billed
2023-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialIANNESSA, CHRISTINA (PRESIDENT/OWNER)
NPI Enumeration Date05/28/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 54 $737.52
2024 12 $298.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 26 26 $641.52
D0120 Periodic oral evaluation - established patient 14 14 $394.80
D1310 13 13 $0.00
D1330 13 13 $0.00