Medicaid Provider Spending

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

CARMIEN & PEDAVOLI FAMILY DENTISTRY, LLC

NPI: 1780446989 · PLYMOUTH, IN 46563 · General Practice Dentistry · NPI assigned 01/24/2024

$5K
Total Medicaid Paid
169
Total Claims
140
Beneficiaries
2
Codes Billed
2024-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCARMIEN, MATTHEW (OWNER/PARTNER DENTIST)
NPI Enumeration Date01/24/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 169 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 73 62 $3K
D0120 Periodic oral evaluation - established patient 96 78 $2K