Medicaid Provider Spending

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

DAVID H.J. PAVASKO, DMD, P.C.

NPI: 1982929899 · EXPORT, PA 15632 · General Practice Dentistry · NPI assigned 04/03/2010

$2K
Total Medicaid Paid
79
Total Claims
79
Beneficiaries
3
Codes Billed
2021-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialPAVASKO, DAVID (PRESIDENT)
NPI Enumeration Date04/03/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 79 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 33 33 $1K
D0120 Periodic oral evaluation - established patient 34 34 $618.70
D0274 Bitewings - four radiographic images 12 12 $336.00