Medicaid Provider Spending

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

BROSTOWITZ, DAVID

NPI: 1679693840 · PESHTIGO, WI 54157 · General Practice Dentistry · NPI assigned 03/30/2007

$4K
Total Medicaid Paid
189
Total Claims
187
Beneficiaries
4
Codes Billed
2020-11
First Month
2023-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 30 $582.32
2021 69 $1K
2022 13 $272.21
2023 77 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 59 58 $2K
D0120 Periodic oral evaluation - established patient 102 101 $2K
D0274 Bitewings - four radiographic images 16 16 $390.00
D1206 Topical application of fluoride varnish 12 12 $216.60