Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › PESHTIGO › DAVID R. BROSTOWITZ, DDS, SC

DAVID R. BROSTOWITZ, DDS, SC

NPI: 1780704981 · PESHTIGO, WI 54157 · General Practice Dentistry · NPI assigned 03/30/2007

$4K
Total Medicaid Paid
236
Total Claims
223
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialBROSTOWITZ, DAVID (PRESIDENT)
NPI Enumeration Date03/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 178 $3K
2019 58 $879.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 67 63 $2K
D0120 Periodic oral evaluation - established patient 129 122 $2K
D1206 Topical application of fluoride varnish 40 38 $463.93