Medicaid Provider Spending

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

MORI, JUDITH

NPI: 1083691638 · GOSHEN, NY 10924 · General Practice Dentistry · NPI assigned 12/26/2005

$17K
Total Medicaid Paid
700
Total Claims
700
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 244 $6K
2019 456 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 235 235 $5K
D1110 Prophylaxis - adult 129 129 $5K
D1120 Prophylaxis - child 89 89 $3K
D1208 Topical application of fluoride, excluding varnish 161 161 $2K
D0220 Intraoral - periapical first radiographic image 74 74 $874.05
D0274 Bitewings - four radiographic images 12 12 $296.40