Medicaid Provider Spending

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

BUCKSTOWN DENTAL ASSICIATES, LLC

NPI: 1285085282 · LANGHORNE, PA 19047 · Pediatric Dentist · NPI assigned 06/30/2016

$6K
Total Medicaid Paid
274
Total Claims
274
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialD'ANGELO, LOUIS (CEO/DENTIST)
NPI Enumeration Date06/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 274 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 135 135 $3K
D1206 Topical application of fluoride varnish 101 101 $2K
D1120 Prophylaxis - child 38 38 $1K