Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › MITCHEM, JESSE

MITCHEM, JESSE

NPI: 1093165920 · HOUSTON, TX 77015 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/22/2016

$96K
Total Medicaid Paid
268
Total Claims
261
Beneficiaries
6
Codes Billed
2019-09
First Month
2021-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $41K
2020 201 $53K
2021 52 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 33 27 $70K
D8020 15 14 $20K
D8660 55 55 $2K
D0340 55 55 $2K
D0330 Panoramic radiographic image 55 55 $2K
D0350 55 55 $963.50