Medicaid Provider Spending

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

BARNES-KASSON COUNTY HOSPITAL

NPI: 1366683831 · SUSQUEHANNA, PA 18847 · Dental Clinic/Center · NPI assigned 03/13/2009

$53K
Total Medicaid Paid
1,806
Total Claims
1,771
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialADORNATO, SARA (DIRECTOR OF FINANCE)
NPI Enumeration Date03/13/2009

Related Entities

Other providers sharing the same authorized official: ADORNATO, SARA

ProviderCityStateTotal Paid
BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA PA $1.94M
BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA PA $603K
BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA PA $582K
BARNES-KASSON COUNTY HOSPITAL NEW MILFORD PA $219K
BARNES-KASSON COUNTY HOSPITAL HALLSTEAD PA $68K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $3K
2019 68 $2K
2020 68 $3K
2021 1,073 $32K
2024 485 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 608 606 $21K
D0120 Periodic oral evaluation - established patient 475 474 $9K
D0330 Panoramic radiographic image 163 162 $6K
D0274 Bitewings - four radiographic images 213 209 $6K
D7140 Extraction, erupted tooth or exposed root 70 43 $5K
D0150 Comprehensive oral evaluation - new or established patient 165 165 $3K
D1120 Prophylaxis - child 36 36 $990.00
D1206 Topical application of fluoride varnish 45 45 $810.00
D1208 Topical application of fluoride, excluding varnish 31 31 $580.32