Medicaid Provider Spending

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

TEEGARDEN, TIFFANY

NPI: 1104264266 · BLUE SPRINGS, MO 64014 · Dentist · NPI assigned 06/11/2013

$9K
Total Medicaid Paid
2,298
Total Claims
1,163
Beneficiaries
9
Codes Billed
2019-10
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,120 $7K
2020 178 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 287 150 $3K
D1120 Prophylaxis - child 286 155 $2K
D0350 282 149 $1K
D1206 Topical application of fluoride varnish 342 183 $1K
D0230 Intraoral - periapical each additional radiographic image 360 190 $1K
D0220 Intraoral - periapical first radiographic image 387 212 $906.00
D1351 Sealant - per tooth 159 29 $540.00
D0272 Bitewings - two radiographic images 150 70 $390.00
D0120 Periodic oral evaluation - established patient 45 25 $175.00