Medicaid Provider Spending

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

MERTZ, KENNETH

NPI: 1003882184 · JACKSONVILLE, FL 32216 · Public Health Dentist · NPI assigned 02/27/2006

$22K
Total Medicaid Paid
1,342
Total Claims
1,307
Beneficiaries
11
Codes Billed
2022-03
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,342 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 163 159 $11K
D0150 Comprehensive oral evaluation - new or established patient 116 113 $9K
D1110 Prophylaxis - adult 15 15 $2K
D1120 Prophylaxis - child 215 209 $83.84
D0272 Bitewings - two radiographic images 101 98 $42.82
D0220 Intraoral - periapical first radiographic image 28 27 $0.00
D0274 Bitewings - four radiographic images 14 14 $0.00
D1330 283 276 $0.00
D0603 14 14 $0.00
D0601 111 107 $0.00
D1206 Topical application of fluoride varnish 282 275 $0.00