Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › BRAZIL › STAADT, GARY

STAADT, GARY

NPI: 1093843823 · BRAZIL, IN 47834 · General Practice Dentistry · NPI assigned 03/01/2007

$19K
Total Medicaid Paid
872
Total Claims
777
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 283 $2K
2019 362 $11K
2020 227 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 271 246 $9K
D0120 Periodic oral evaluation - established patient 520 461 $8K
D1208 Topical application of fluoride, excluding varnish 67 57 $1K
D0274 Bitewings - four radiographic images 14 13 $535.85