Medicaid Provider Spending

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

SPROUT PEDIATRIC DENTAL

NPI: 1902525264 · HONESDALE, PA 18431 · Pediatric Dentist · NPI assigned 08/22/2022

$8K
Total Medicaid Paid
270
Total Claims
269
Beneficiaries
6
Codes Billed
2024-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHLOESSER, KATHERINE (DMD/OWNER)
Parent OrganizationSPROUT PEDIATRIC DENTAL
NPI Enumeration Date08/22/2022

Related Entities

Other providers sharing the same authorized official: SCHLOESSER, KATHERINE

ProviderCityStateTotal Paid
SPROUT PEDIATRIC DENTAL LAKE ARIEL PA $5.70M
SPROUT PEDIATRIC DENTAL KINGSTON PA $155K
SPROUT PEDIATRIC DENTAL PITTSTON PA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 270 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 87 87 $2K
D1206 93 92 $2K
D9920 14 14 $2K
D1120 46 46 $2K
D0603 15 15 $150.00
D1330 15 15 $75.00