Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› PETER S. KULKA DDS PC
PETER S. KULKA DDS PC
NPI: 1700318003 · HANOVER, MA 02339 ·
Dentist
· NPI assigned 03/28/2017
$22K
Total Medicaid Paid
542
Total Claims
536
Beneficiaries
3
Codes Billed
2019-06
First Month
2024-10
Last Month
Provider Details
Authorized Official
KULKA, PETER
(OWNER)
NPI Enumeration Date
03/28/2017
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
29
$1K
2020
111
$5K
2021
75
$3K
2022
108
$5K
2023
151
$6K
2024
68
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
Prophylaxis - adult
364
361
$19K
D0120
Periodic oral evaluation - established patient
166
163
$4K
D0220
Intraoral - periapical first radiographic image
12
12
$180.00