Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › OSSINING › CHILMARK DENTAL PC

CHILMARK DENTAL PC

NPI: 1669462750 · OSSINING, NY 10562 · Dentist · NPI assigned 10/28/2005

$2K
Total Medicaid Paid
78
Total Claims
73
Beneficiaries
3
Codes Billed
2019-12
First Month
2020-06
Last Month

Provider Details

Authorized OfficialLOBEL, ETTA (DENTIST)
NPI Enumeration Date10/28/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 32 $1K
2020 46 $867.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 32 32 $1K
D0120 Periodic oral evaluation - established patient 26 26 $563.94
D1999 20 15 $0.00