Medicaid Provider Spending

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

MARK S. BICHAJIAN, DMD, INC.

NPI: 1871677583 · WARWICK, RI 02888 · Dental Clinic/Center · NPI assigned 10/25/2006

$10K
Total Medicaid Paid
510
Total Claims
503
Beneficiary Records
6
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialSCHIAVULLI, JOANNE (OFFICE MANAGER)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 160 $3K
2019 338 $6K
2020 12 $330.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 192 190 $6K
D1206 Topical application of fluoride varnish 82 80 $2K
D0120 Periodic oral evaluation - established patient 135 133 $1K
D0274 Bitewings - four radiographic images 38 38 $836.00
D1208 Topical application of fluoride, excluding varnish 37 36 $648.00
D0602 26 26 $0.00