Medicaid Provider Spending

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

JOSEPH DIBENEDETTO DMD PLLC

NPI: 1912748989 · WATERFORD, PA 16441 · Dental Clinic/Center · NPI assigned 06/04/2024

$1K
Total Medicaid Paid
82
Total Claims
77
Beneficiaries
4
Codes Billed
2024-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIBENEDETTO, JOSEPH (PEDIATRIC DENTIST)
NPI Enumeration Date06/04/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 82 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 26 26 $580.47
D1206 Topical application of fluoride varnish 25 25 $334.96
D0230 Intraoral - periapical each additional radiographic image 17 12 $170.26
D0220 Intraoral - periapical first radiographic image 14 14 $71.07