Medicaid Provider Spending

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

KNOBELOCH, DENNIS

NPI: 1306900444 · MASCOUTAH, IL 62258 · Dentist · NPI assigned 12/21/2006

$49K
Total Medicaid Paid
1,048
Total Claims
1,027
Beneficiaries
9
Codes Billed
2022-04
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 194 $9K
2023 347 $15K
2024 507 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 252 252 $16K
D0120 Periodic oral evaluation - established patient 305 305 $14K
D1206 Topical application of fluoride varnish 253 253 $10K
D0150 Comprehensive oral evaluation - new or established patient 100 100 $4K
D1110 Prophylaxis - adult 28 28 $2K
D1351 Sealant - per tooth 33 12 $2K
D0274 Bitewings - four radiographic images 38 38 $1K
D0140 Limited oral evaluation - problem focused 27 27 $783.00
D0210 Intraoral - complete series of radiographic images 12 12 $592.79