Medicaid Provider Spending

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

G. DINO TOLIAS,D.D.S. P.C.

NPI: 1952405169 · SAINT CLAIR SHORES, MI 48081 · General Practice Dentistry · NPI assigned 09/08/2006

$11K
Total Medicaid Paid
378
Total Claims
370
Beneficiaries
5
Codes Billed
2018-05
First Month
2020-02
Last Month

Provider Details

Authorized OfficialGDULA, DEBORAH (OFFICE MANAGER)
NPI Enumeration Date09/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 135 $4K
2019 201 $5K
2020 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 122 120 $5K
D1208 Topical application of fluoride, excluding varnish 143 141 $3K
D0120 Periodic oral evaluation - established patient 85 83 $2K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $585.00
D0220 Intraoral - periapical first radiographic image 15 13 $221.00