Medicaid Provider Spending

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

PRISCO, SAMUEL

NPI: 1730241894 · JERMYN, PA 18433 · General Practice Dentistry · NPI assigned 12/15/2006

$3K
Total Medicaid Paid
69
Total Claims
53
Beneficiary Records
3
Codes Billed
2021-05
First Month
2021-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 69 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 26 $2K
D1110 Prophylaxis - adult 13 13 $468.00
D0274 Bitewings - four radiographic images 14 14 $392.00