Medicaid Provider Spending

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

BONNEVIE, DANIEL

NPI: 1720009202 · LAFAYETTE HILL, PA 19444 · General Practice Dentistry · NPI assigned 07/21/2006

$2K
Total Medicaid Paid
92
Total Claims
72
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 92 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 33 13 $775.00
D1206 Topical application of fluoride varnish 29 29 $513.50
D0274 Bitewings - four radiographic images 18 18 $392.00
D1120 Prophylaxis - child 12 12 $330.00