Medicaid Provider Spending

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

JOH, GARY

NPI: 1093814998 · TROY, MI 48085 · General Practice Dentistry · NPI assigned 09/21/2006

$14K
Total Medicaid Paid
485
Total Claims
478
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $3K
2019 266 $8K
2020 114 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 146 145 $6K
D0120 Periodic oral evaluation - established patient 138 137 $3K
D0220 Intraoral - periapical first radiographic image 81 80 $1K
D1208 Topical application of fluoride, excluding varnish 38 38 $826.00
D0150 Comprehensive oral evaluation - new or established patient 18 17 $640.00
D1120 Prophylaxis - child 13 13 $532.00
D0274 Bitewings - four radiographic images 13 12 $366.00
D0230 Intraoral - periapical each additional radiographic image 38 36 $306.00