Medicaid Provider Spending

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

GRUBER, JAMES

NPI: 1083279764 · WENDOVER, UT 84083 · General Practice Dentistry · NPI assigned 05/07/2019

$3K
Total Medicaid Paid
221
Total Claims
201
Beneficiary Records
6
Codes Billed
2020-09
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 104 $958.42
2021 88 $1K
2024 29 $294.54

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 40 38 $831.00
D0220 Intraoral - periapical first radiographic image 71 65 $708.54
D0274 Bitewings - four radiographic images 36 34 $518.54
D1120 Prophylaxis - child 16 14 $360.00
D0230 Intraoral - periapical each additional radiographic image 42 36 $147.25
D1208 Topical application of fluoride, excluding varnish 16 14 $51.20