Medicaid Provider Spending

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

PRISHKULNIK, ELIZABETH

NPI: 1306834676 · SANTA FE, NM 87505 · Pediatric Dentist · NPI assigned 10/11/2005

$3K
Total Medicaid Paid
112
Total Claims
112
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 57 57 $2K
D1208 Topical application of fluoride, excluding varnish 55 55 $960.30