Medicaid Provider Spending

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

DECHELLIS, ALBERT

NPI: 1487770855 · BOARDMAN, OH 44512 · General Practice Dentistry · NPI assigned 03/21/2007

$8K
Total Medicaid Paid
288
Total Claims
272
Beneficiaries
8
Codes Billed
2018-08
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $2K
2019 204 $5K
2020 27 $784.99

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 85 85 $3K
D0210 Intraoral - complete series of radiographic images 42 42 $2K
D7140 Extraction, erupted tooth or exposed root 27 12 $1K
D0150 Comprehensive oral evaluation - new or established patient 53 52 $1K
D0274 Bitewings - four radiographic images 27 27 $520.00
D1208 Topical application of fluoride, excluding varnish 28 28 $375.00
D0120 Periodic oral evaluation - established patient 14 14 $204.96
D1120 Prophylaxis - child 12 12 $180.00