Medicaid Provider Spending

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

JORGENSEN, ERIN

NPI: 1043796428 · PUEBLO WEST, CO 81007 · Dentist · NPI assigned 07/18/2018

$22K
Total Medicaid Paid
1,095
Total Claims
985
Beneficiaries
8
Codes Billed
2019-09
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 558 $11K
2020 203 $4K
2021 334 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 224 202 $8K
D1206 Topical application of fluoride varnish 214 202 $5K
D0150 Comprehensive oral evaluation - new or established patient 169 142 $3K
D0120 Periodic oral evaluation - established patient 78 78 $2K
D0274 Bitewings - four radiographic images 96 87 $1K
D0220 Intraoral - periapical first radiographic image 160 145 $716.80
D0230 Intraoral - periapical each additional radiographic image 129 105 $583.30
D0330 Panoramic radiographic image 25 24 $384.20