Medicaid Provider Spending

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

DR. OLGA BACZARA

NPI: 1902038557 · GAMBRILLS, MD 21054 · General Practice Dentistry · NPI assigned 08/17/2009

$2K
Total Medicaid Paid
47
Total Claims
40
Beneficiaries
3
Codes Billed
2018-04
First Month
2023-04
Last Month

Provider Details

Authorized OfficialKAUFFMAN, KATHY (PATIENT COORDINATOR)
NPI Enumeration Date08/17/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $299.00
2023 34 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 19 15 $845.10
D0210 Intraoral - complete series of radiographic images 15 12 $684.00
D1208 Topical application of fluoride, excluding varnish 13 13 $299.00