Medicaid Provider Spending

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

PYKE GALLETTO DENTAL ASSOCIATES LLP

NPI: 1932269966 · POTTSTOWN, PA 19464 · Dentist · NPI assigned 12/11/2006

$1K
Total Medicaid Paid
24
Total Claims
24
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialPYKE, LOWELL (PARTNER)
NPI Enumeration Date12/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $600.00
2019 12 $504.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $600.00
D0120 Periodic oral evaluation - established patient 12 12 $504.00