Medicaid Provider Spending

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

SUZANNE E EDWARDS, DMD, PC

NPI: 1104165596 · LOCK HAVEN, PA 17745 · General Practice Dentistry · NPI assigned 02/05/2013

$76K
Total Medicaid Paid
3,098
Total Claims
2,939
Beneficiaries
11
Codes Billed
2020-10
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHILLS, SUE (RECEPTIONIST)
NPI Enumeration Date02/05/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 439 $12K
2021 2,396 $58K
2023 31 $844.00
2024 232 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 597 596 $21K
D0120 Periodic oral evaluation - established patient 694 692 $15K
D0330 Panoramic radiographic image 240 237 $9K
D0272 Bitewings - two radiographic images 450 449 $7K
D1208 Topical application of fluoride, excluding varnish 375 373 $7K
D1120 Prophylaxis - child 193 193 $6K
D0150 Comprehensive oral evaluation - new or established patient 254 252 $5K
D1351 Sealant - per tooth 170 26 $4K
D2150 Silver amalgam - two surfaces, primary or permanent 15 14 $876.20
D0220 Intraoral - periapical first radiographic image 96 95 $768.00
D2140 14 12 $630.00