Medicaid Provider Spending

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

SADIBASIC, MADELYN

NPI: 1699290064 · TONAWANDA, NY 14150 · Dentist · NPI assigned 08/07/2017

$6K
Total Medicaid Paid
248
Total Claims
248
Beneficiaries
6
Codes Billed
2019-03
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 170 $4K
2020 78 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 40 40 $2K
D0120 Periodic oral evaluation - established patient 55 55 $2K
D1208 Topical application of fluoride, excluding varnish 88 88 $1K
D0274 Bitewings - four radiographic images 32 32 $881.60
D0330 Panoramic radiographic image 17 17 $646.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $440.80