Medicaid Provider Spending

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

PELAGIO, DAVID

NPI: 1730282757 · WYOMISSING, PA 19610 · General Practice Dentistry · NPI assigned 09/06/2006

$20K
Total Medicaid Paid
898
Total Claims
878
Beneficiaries
8
Codes Billed
2018-03
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $771.80
2019 110 $2K
2020 55 $1K
2021 662 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 294 292 $10K
D0120 Periodic oral evaluation - established patient 372 365 $7K
D0274 Bitewings - four radiographic images 66 65 $2K
D0220 Intraoral - periapical first radiographic image 90 83 $651.25
D0330 Panoramic radiographic image 18 16 $589.90
D1206 Topical application of fluoride varnish 32 31 $510.00
D1120 Prophylaxis - child 13 13 $390.00
D9110 13 13 $356.85