Medicaid Provider Spending

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

M PAIGE DDS & JM BRESSLER DDS AT WASILLA LLC

NPI: 1104210129 · WASILLA, AK 99654 · General Practice Dentistry · NPI assigned 03/27/2015

$14K
Total Medicaid Paid
374
Total Claims
251
Beneficiaries
7
Codes Billed
2018-03
First Month
2020-09
Last Month

Provider Details

Authorized OfficialPAIGE, MATTHEW (OWNING DENTIST)
NPI Enumeration Date03/27/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58 $1K
2019 133 $8K
2020 183 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 55 18 $5K
D1110 Prophylaxis - adult 48 37 $3K
D0220 Intraoral - periapical first radiographic image 157 119 $3K
D0120 Periodic oral evaluation - established patient 44 31 $1K
D0140 Limited oral evaluation - problem focused 20 18 $1K
D0274 Bitewings - four radiographic images 19 12 $572.60
D0230 Intraoral - periapical each additional radiographic image 31 16 $281.54