Medicaid Provider Spending

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

CREEKSIDE DENTAL, LLC.

NPI: 1396459376 · NEWARK, DE 19711 · Dentist · NPI assigned 01/13/2023

$3K
Total Medicaid Paid
53
Total Claims
51
Beneficiary Records
3
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCERNOBYL, KELLIE (CHIEF OPERATING OFFICER)
NPI Enumeration Date01/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 53 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 14 14 $1K
D1110 Prophylaxis - adult 13 13 $1K
D1206 Topical application of fluoride varnish 26 24 $805.20