Medicaid Provider Spending

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

SIMKEVICH, JOHN

NPI: 1093746539 · EAST GREENWICH, RI 02818 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/05/2006

$161K
Total Medicaid Paid
3,943
Total Claims
3,590
Beneficiaries
16
Codes Billed
2018-02
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,943 $161K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 943 943 $47K
D1206 Topical application of fluoride varnish 900 900 $36K
D0120 Periodic oral evaluation - established patient 492 492 $12K
D1351 Sealant - per tooth 356 100 $11K
D9920 123 120 $9K
D7140 Extraction, erupted tooth or exposed root 125 74 $7K
D1110 Prophylaxis - adult 139 139 $7K
D1208 Topical application of fluoride, excluding varnish 182 182 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 93 62 $6K
D0272 Bitewings - two radiographic images 230 230 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 60 48 $5K
D0150 Comprehensive oral evaluation - new or established patient 112 112 $4K
D0140 Limited oral evaluation - problem focused 56 56 $2K
D0274 Bitewings - four radiographic images 53 53 $1K
D0220 Intraoral - periapical first radiographic image 67 67 $975.52
D0330 Panoramic radiographic image 12 12 $758.66