Medicaid Provider Spending

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

MANTINI, ERNEST

NPI: 1629283544 · DAVIDSVILLE, PA 15928 · General Practice Dentistry · NPI assigned 05/14/2007

$7K
Total Medicaid Paid
273
Total Claims
273
Beneficiaries
4
Codes Billed
2020-10
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 46 $1K
2021 227 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 114 114 $4K
D0120 Periodic oral evaluation - established patient 133 133 $2K
D1120 Prophylaxis - child 12 12 $330.00
D1206 Topical application of fluoride varnish 14 14 $214.00