Medicaid Provider Spending

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

ROSE HILL GENERAL AND COSMETIC DENTISTRY

NPI: 1104910900 · ROSE HILL, KS 67133 · Dental Clinic/Center · NPI assigned 10/03/2006

$93K
Total Medicaid Paid
4,180
Total Claims
3,752
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialTROILO, MARK (DR.)
NPI Enumeration Date10/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,266 $28K
2019 1,039 $20K
2020 1,180 $27K
2021 695 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,058 995 $21K
D1206 Topical application of fluoride varnish 1,209 1,132 $20K
D1120 Prophylaxis - child 582 554 $17K
D1110 Prophylaxis - adult 301 269 $11K
D0274 Bitewings - four radiographic images 329 303 $9K
D0272 Bitewings - two radiographic images 363 344 $7K
D1351 Sealant - per tooth 163 28 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 150 102 $2K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $742.20