Medicaid Provider Spending

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

WESTON, MARK

NPI: 1114016250 · GARDEN CITY, UT 84028 · General Practice Dentistry · NPI assigned 10/12/2006

$24K
Total Medicaid Paid
717
Total Claims
717
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 346 $11K
2019 318 $11K
2020 53 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 300 300 $11K
D1206 Topical application of fluoride varnish 210 210 $5K
D1110 Prophylaxis - adult 95 95 $4K
D1120 Prophylaxis - child 98 98 $3K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $315.00