Medicaid Provider Spending

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

NPI: 1609439728 · CANTON, MI 48187 · Dental Clinic/Center · NPI assigned 04/15/2019

$3K
Total Medicaid Paid
95
Total Claims
95
Beneficiaries
3
Codes Billed
2021-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGONDOLY, JOSEPH (OWNER)
NPI Enumeration Date04/15/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 24 $726.00
2022 44 $1K
2023 14 $336.00
2024 13 $317.62

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 56 56 $1K
D1120 Prophylaxis - child 25 25 $955.00
D0120 Periodic oral evaluation - established patient 14 14 $348.00