Medicaid Provider Spending

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

COMMONWEALTH OF PENNSYLVANIA MOBILE DENTISTRY,INC

NPI: 1417104761 · BUCKINGHAM, PA 18912 · Periodontist · NPI assigned 08/19/2008

$1K
Total Medicaid Paid
80
Total Claims
80
Beneficiaries
1
Codes Billed
2020-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBUKOFSKY, LYNNE (PRESIDENT)
NPI Enumeration Date08/19/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $448.80
2021 39 $729.30
2024 17 $317.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 80 80 $1K