Medicaid Provider Spending

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

DOLOBACH, BERNARD

NPI: 1477654150 · BROWNSVILLE, PA 15417 · Dentist · NPI assigned 09/26/2006

$3K
Total Medicaid Paid
149
Total Claims
143
Beneficiaries
5
Codes Billed
2021-04
First Month
2021-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 149 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 73 68 $1K
D1110 Prophylaxis - adult 32 31 $1K
D0274 Bitewings - four radiographic images 17 17 $476.84
D0150 Comprehensive oral evaluation - new or established patient 15 15 $300.00
D0220 Intraoral - periapical first radiographic image 12 12 $96.00