Medicaid Provider Spending

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

PAUL A. EVANS, DDS

NPI: 1104156017 · GREENWOOD, AR 72936 · Dentist · NPI assigned 12/29/2009

$36K
Total Medicaid Paid
1,105
Total Claims
1,069
Beneficiaries
7
Codes Billed
2021-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEVANS, PAUL (OWNER/DENTIST)
NPI Enumeration Date12/29/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 105 $3K
2022 463 $17K
2023 392 $12K
2024 145 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 568 562 $14K
D1110 Prophylaxis - adult 260 258 $12K
D2150 Silver amalgam - two surfaces, primary or permanent 77 51 $6K
D0272 Bitewings - two radiographic images 148 146 $3K
D1206 Topical application of fluoride varnish 28 28 $558.60
D0140 Limited oral evaluation - problem focused 12 12 $410.40
D0330 Panoramic radiographic image 12 12 $313.50