Medicaid Provider Spending

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

NPI: 1972054286 · VALPARAISO, IN 46383 · Pediatric Dentist · NPI assigned 10/21/2016

$148.47
Total Medicaid Paid
61
Total Claims
57
Beneficiaries
3
Codes Billed
2018-06
First Month
2018-08
Last Month

Provider Details

Authorized OfficialDELUMPA FOLKE, BERNADETTE (SOLE OWNER/PEDIATRIC DENTIST)
NPI Enumeration Date10/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $148.47

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 28 26 $103.50
D0120 Periodic oral evaluation - established patient 16 15 $22.58
D1208 Topical application of fluoride, excluding varnish 17 16 $22.39