Medicaid Provider Spending

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

SHANLEY AND ONG PEDIATRIC DENTISTRY

NPI: 1548771512 · LITITZ, PA 17543 · Pediatric Dentist · NPI assigned 10/18/2017

$13K
Total Medicaid Paid
305
Total Claims
303
Beneficiaries
3
Codes Billed
2019-08
First Month
2023-04
Last Month

Provider Details

Authorized OfficialSHANLEY, BRIANNE (OWNER/DENTIST)
NPI Enumeration Date10/18/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 33 $1K
2020 13 $629.51
2022 74 $3K
2023 185 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 99 98 $5K
D1206 Topical application of fluoride varnish 103 102 $4K
D0120 Periodic oral evaluation - established patient 103 103 $4K