Medicaid Provider Spending

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

NPI: 1528346236 · CLAIRTON, PA 15102 · General Practice Dentistry · NPI assigned 07/29/2011

$10K
Total Medicaid Paid
657
Total Claims
650
Beneficiaries
2
Codes Billed
2021-03
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 88 $1K
2024 569 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 462 457 $7K
D0150 Comprehensive oral evaluation - new or established patient 195 193 $3K