Medicaid Provider Spending

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

ZAN XU DDS PLLC

NPI: 1043753932 · FEDERAL WAY, WA 98003 · Dental Clinic/Center · NPI assigned 11/23/2016

$2K
Total Medicaid Paid
492
Total Claims
186
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialXU, ZAN (DENTIST)
NPI Enumeration Date11/23/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 492 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 56 29 $624.49
D1208 Topical application of fluoride, excluding varnish 84 46 $622.94
D0220 Intraoral - periapical first radiographic image 116 61 $425.40
D0274 Bitewings - four radiographic images 55 29 $236.01
D0230 Intraoral - periapical each additional radiographic image 181 21 $140.31