Medicaid Provider Spending

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

PELKEY, SAM

NPI: 1952714677 · GROVE CITY, OH 43123 · General Practice Dentistry · NPI assigned 06/10/2014

$2K
Total Medicaid Paid
45
Total Claims
24
Beneficiaries
2
Codes Billed
2018-05
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $289.85
2019 33 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 33 12 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $289.85