Medicaid Provider Spending

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

SHIALABBA, SAMUEL

NPI: 1710063433 · OIL CITY, PA 16301 · General Practice Dentistry · NPI assigned 10/27/2006

$11K
Total Medicaid Paid
460
Total Claims
460
Beneficiaries
4
Codes Billed
2020-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 58 $2K
2021 245 $6K
2024 157 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 256 256 $5K
D1110 Prophylaxis - adult 114 114 $4K
D1208 Topical application of fluoride, excluding varnish 75 75 $1K
D0274 Bitewings - four radiographic images 15 15 $420.00