Medicaid Provider Spending

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

HANSEN, MICHAEL

NPI: 1114059037 · MISSION VIEJO, CA 92692 · General Practice Dentistry · NPI assigned 03/09/2007

$11K
Total Medicaid Paid
268
Total Claims
264
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 205 $6K
2019 25 $1K
2020 38 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 61 61 $3K
D1110 Prophylaxis - adult 44 44 $3K
D0120 Periodic oral evaluation - established patient 78 78 $3K
D1120 Prophylaxis - child 30 30 $900.00
D0230 Intraoral - periapical each additional radiographic image 36 32 $345.00
D0274 Bitewings - four radiographic images 19 19 $342.00