Medicaid Provider Spending

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

HAMILTON, WESLEY

NPI: 1073743878 · BRYANT, AR 72022 · Dentist · NPI assigned 07/15/2009

$26K
Total Medicaid Paid
1,145
Total Claims
915
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 699 $17K
2019 394 $9K
2020 52 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 659 531 $14K
D1110 Prophylaxis - adult 118 93 $5K
D1120 Prophylaxis - child 126 99 $3K
D1208 Topical application of fluoride, excluding varnish 214 167 $3K
D0330 Panoramic radiographic image 16 13 $900.50
D0272 Bitewings - two radiographic images 12 12 $296.40