Medicaid Provider Spending

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

CHESTNUT HILL SMILES, LLC

NPI: 1285009357 · NEWARK, DE 19713 · Dentist · NPI assigned 12/01/2015

$2K
Total Medicaid Paid
106
Total Claims
78
Beneficiaries
3
Codes Billed
2018-03
First Month
2018-10
Last Month

Provider Details

Authorized OfficialLANZILOTTI, THOMAS (MEMBER)
NPI Enumeration Date12/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 52 38 $1K
D1120 Prophylaxis - child 13 12 $651.64
D0602 41 28 $0.00