Medicaid Provider Spending

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

RUBULOTTA, JOSEPH

NPI: 1558539163 · TOMS RIVER, NJ 08753 · Dentist · NPI assigned 02/16/2008

$11K
Total Medicaid Paid
421
Total Claims
414
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 81 $2K
2023 313 $8K
2024 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 202 199 $8K
D0120 Periodic oral evaluation - established patient 71 69 $2K
D0230 Intraoral - periapical each additional radiographic image 52 51 $741.00
D0220 Intraoral - periapical first radiographic image 81 80 $390.00
D0274 Bitewings - four radiographic images 15 15 $168.00