Medicaid Provider Spending

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

FIDELITO GABRIEL DMD PC

NPI: 1376797241 · DORCHESTER CENTER, MA 02124 · General Practice Dentistry · NPI assigned 11/05/2008

$32K
Total Medicaid Paid
923
Total Claims
268
Beneficiaries
6
Codes Billed
2018-07
First Month
2022-03
Last Month

Provider Details

Authorized OfficialGABRIEL, FIDELITO (PRESIDENT)
NPI Enumeration Date11/05/2008

Related Entities

Other providers sharing the same authorized official: GABRIEL, FIDELITO

ProviderCityStateTotal Paid
FIDELITO GABRIEL DMD PC JAMAICA PLAIN MA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 284 $19K
2019 206 $12K
2021 298 $160.00
2022 135 $296.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 300 65 $22K
D2394 64 14 $6K
D0272 90 79 $2K
D1110 25 25 $1K
D0120 39 36 $598.00
D0230 405 49 $0.00