Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TIOGA DENTAL SERVICES
NPI: 1255664819 · LAWRENCEVILLE, PA 16929 ·
Dental Clinic/Center
· NPI assigned 09/15/2009
$11K
Total Medicaid Paid
370
Total Claims
368
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-10
Last Month
Provider Details
Authorized Official
RISNER-BAUMAN, ALICIA
(DENTAL CLINIC DIRECTOR)
NPI Enumeration Date
09/15/2009
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
190
$6K
2019
180
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
Prophylaxis - adult
280
278
$9K
D0120
Periodic oral evaluation - established patient
90
90
$2K