Medicaid Provider Spending

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

CHARLES MARVIN, DDS, P.C.

NPI: 1326184508 · POMONA, NY 10970 · General Practice Dentistry · NPI assigned 01/29/2007

$14K
Total Medicaid Paid
519
Total Claims
519
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialMARVIN, MICHELLE (OFFICE MANAGER)
NPI Enumeration Date01/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $5K
2019 237 $7K
2020 118 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 339 339 $8K
D1110 Prophylaxis - adult 131 131 $6K
D1120 Prophylaxis - child 16 16 $514.56
D1208 Topical application of fluoride, excluding varnish 33 33 $359.70