Medicaid Provider Spending

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

KODAMA, JAMES

NPI: 1114017589 · RESEDA, CA 91335 · General Practice Dentistry · NPI assigned 10/13/2006

$96K
Total Medicaid Paid
5,304
Total Claims
2,883
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,470 $22K
2019 851 $15K
2020 356 $4K
2021 789 $15K
2022 481 $11K
2023 799 $16K
2024 558 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 404 404 $35K
D0120 Periodic oral evaluation - established patient 301 301 $17K
D0274 Bitewings - four radiographic images 757 757 $16K
D0230 Intraoral - periapical each additional radiographic image 3,284 877 $13K
D0150 Comprehensive oral evaluation - new or established patient 135 135 $6K
D1208 Topical application of fluoride, excluding varnish 232 232 $3K
D9430 87 73 $3K
D1120 Prophylaxis - child 92 92 $2K
D0210 Intraoral - complete series of radiographic images 12 12 $576.00