Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › LEBANON › CORNWALL FAMILY DENTISTRY, LLC

CORNWALL FAMILY DENTISTRY, LLC

NPI: 1962868968 · LEBANON, PA 17042 · General Practice Dentistry · NPI assigned 01/06/2016

$853.81
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2024-05
First Month
2024-05
Last Month

Provider Details

Authorized OfficialKOSLOWSKI, RICHARD (OWNER)
NPI Enumeration Date01/06/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 25 $853.81

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 13 $532.87
D0120 Periodic oral evaluation - established patient 12 12 $320.94