Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CENTRAL PENNSYLANIA INSTITUTE OF SCIENCE AND TECHNOLOGY

NPI: 1699052456 · PLEASANT GAP, PA 16823 · Local Education Agency (LEA) · NPI assigned 11/08/2011

$1K
Total Medicaid Paid
43
Total Claims
43
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-04
Last Month

Provider Details

Authorized OfficialTAYLOR, TODD (DIRECTOR OF ADULT EDUCATION)
NPI Enumeration Date11/08/2011

Related Entities

Other providers sharing the same authorized official: TAYLOR, TODD

ProviderCityStateTotal Paid
PERFORMANCE ACADEMY EASTLAND COLUMBUS OH $16K
COLUMBUS PERFORMANCE ACADEMY COLUMBUS OH $560.99

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 24 24 $864.00
D0120 Periodic oral evaluation - established patient 19 19 $380.00