Medicaid Provider Spending

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

HENRY-TOMCZUK, NICOLA

NPI: 1073801932 · BRANDYWINE, MD 20613 · General Practice Dentistry · NPI assigned 07/13/2011

$8K
Total Medicaid Paid
706
Total Claims
625
Beneficiaries
8
Codes Billed
2020-02
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 284 $2K
2021 83 $2K
2022 339 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 64 61 $2K
D0274 Bitewings - four radiographic images 163 161 $2K
D1110 Prophylaxis - adult 63 59 $1K
D0150 Comprehensive oral evaluation - new or established patient 71 69 $1K
D0220 Intraoral - periapical first radiographic image 152 143 $535.50
D0230 Intraoral - periapical each additional radiographic image 162 104 $509.60
D0140 Limited oral evaluation - problem focused 19 16 $186.00
D1330 12 12 $0.00