Medicaid Provider Spending

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

PETTENGILL, MARINA

NPI: 1982622122 · PLAINVILLE, MA 02762 · General Practice Dentistry · NPI assigned 07/17/2006

$49K
Total Medicaid Paid
1,691
Total Claims
1,436
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 664 $16K
2019 490 $14K
2020 234 $8K
2021 102 $3K
2022 105 $4K
2023 68 $3K
2024 28 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 784 672 $19K
D1208 Topical application of fluoride, excluding varnish 552 451 $13K
D1110 Prophylaxis - adult 133 119 $8K
D1120 Prophylaxis - child 144 124 $6K
D0274 Bitewings - four radiographic images 78 70 $3K