Medicaid Provider Spending

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

NPI: 1427218882 · SOUTHAMPTON, PA 18966 · General Practice Dentistry · NPI assigned 06/10/2008

$1K
Total Medicaid Paid
41
Total Claims
41
Beneficiaries
3
Codes Billed
2018-05
First Month
2018-05
Last Month

Provider Details

Authorized OfficialTRIKUR, OLESYA (MAIN RECEPTIONIST)
NPI Enumeration Date06/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 16 16 $535.20
D0274 Bitewings - four radiographic images 12 12 $305.40
D0120 Periodic oral evaluation - established patient 13 13 $243.10