Medicaid Provider Spending

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

BUCKEYE DENTAL GROUP OF BACH LAMIELLE AND STANICH DDS LLC

NPI: 1992703953 · MASSILLON, OH 44646 · General Practice Dentistry · NPI assigned 07/13/2005

$99K
Total Medicaid Paid
6,368
Total Claims
5,965
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialLAMIELLE, ANGELA (OFFICE MANAGER)
NPI Enumeration Date07/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,328 $50K
2019 3,040 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,332 1,278 $41K
D0120 Periodic oral evaluation - established patient 1,629 1,568 $25K
D0274 Bitewings - four radiographic images 983 948 $15K
D1208 Topical application of fluoride, excluding varnish 573 554 $8K
D0230 Intraoral - periapical each additional radiographic image 901 699 $3K
D0220 Intraoral - periapical first radiographic image 789 759 $3K
D0330 Panoramic radiographic image 53 52 $2K
D1120 Prophylaxis - child 83 82 $2K
D0272 Bitewings - two radiographic images 25 25 $180.00