Medicaid Provider Spending

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

GARDOCKI, PATRICK

NPI: 1356765309 · DELMAR, NY 12054 · Dentist · NPI assigned 02/11/2014

$7K
Total Medicaid Paid
186
Total Claims
186
Beneficiaries
3
Codes Billed
2018-02
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $1K
2019 79 $4K
2020 68 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 123 123 $4K
D1110 Prophylaxis - adult 50 50 $3K
D1208 Topical application of fluoride, excluding varnish 13 13 $281.19