Medicaid Provider Spending

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

LISA A FAGIOLETTI DMD LLC

NPI: 1720382948 · SMYRNA, DE 19977 · General Practice Dentistry · NPI assigned 01/03/2011

$13K
Total Medicaid Paid
618
Total Claims
506
Beneficiaries
9
Codes Billed
2018-04
First Month
2024-01
Last Month

Provider Details

Authorized OfficialFAGIOLETTI, LISA (OWNER/ DENTIST)
NPI Enumeration Date01/03/2011

Related Entities

Other providers sharing the same authorized official: FAGIOLETTI, LISA

ProviderCityStateTotal Paid
DELAWARE MODERN DENTAL NEWARK DE $245K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 224 $4K
2020 84 $2K
2023 246 $6K
2024 64 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 154 125 $4K
D0274 Bitewings - four radiographic images 83 67 $3K
D0120 Periodic oral evaluation - established patient 104 82 $3K
D0220 Intraoral - periapical first radiographic image 91 78 $1K
D0230 Intraoral - periapical each additional radiographic image 82 68 $1K
D1110 Prophylaxis - adult 17 14 $877.60
D0603 47 44 $0.00
D0602 22 16 $0.00
D1999 18 12 $0.00