Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SAINT JOSEPH › GOMOLA, ALEXANDRIA

GOMOLA, ALEXANDRIA

NPI: 1780357608 · SAINT JOSEPH, MI 49085 · General Practice Dentistry · NPI assigned 07/27/2021

$17K
Total Medicaid Paid
186
Total Claims
156
Beneficiaries
4
Codes Billed
2022-01
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 172 $15K
2023 14 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9999 Unspecified adjunctive procedure, by report 75 45 $6K
D0120 Periodic oral evaluation - established patient 44 44 $4K
D1120 Prophylaxis - child 42 42 $4K
D0140 Limited oral evaluation - problem focused 25 25 $2K