Medicaid Provider Spending

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

GRAHAM, TYLER

NPI: 1053934182 · RIVERTON, WY 82501 · General Practice Dentistry · NPI assigned 05/23/2020

$23K
Total Medicaid Paid
624
Total Claims
591
Beneficiaries
8
Codes Billed
2022-06
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 84 $2K
2023 182 $6K
2024 358 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 225 211 $8K
D0274 Bitewings - four radiographic images 137 127 $5K
D1110 Prophylaxis - adult 59 57 $3K
D1206 Topical application of fluoride varnish 75 73 $3K
D1120 Prophylaxis - child 56 54 $2K
D0460 31 29 $853.44
D1330 29 28 $258.40
D0220 Intraoral - periapical first radiographic image 12 12 $219.48