Medicaid Provider Spending

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

FILLIMAN, TIMOTHY

NPI: 1053724849 · GLADSTONE, MO 64119 · Dentist · NPI assigned 06/09/2014

$19K
Total Medicaid Paid
854
Total Claims
561
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 854 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 170 158 $5K
D1351 Sealant - per tooth 243 21 $5K
D0120 Periodic oral evaluation - established patient 175 160 $3K
D0274 Bitewings - four radiographic images 107 98 $3K
D0330 Panoramic radiographic image 32 24 $1K
D0150 Comprehensive oral evaluation - new or established patient 29 27 $774.00
D1120 Prophylaxis - child 39 28 $720.00
D1208 Topical application of fluoride, excluding varnish 39 28 $460.80
D0272 Bitewings - two radiographic images 20 17 $340.00