Medicaid Provider Spending

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

WISTON, RANDI

NPI: 1124168687 · YORKTOWN HEIGHTS, NY 10598 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/07/2007

$78K
Total Medicaid Paid
1,405
Total Claims
1,143
Beneficiaries
5
Codes Billed
2018-03
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 531 $30K
2019 190 $10K
2020 684 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 533 273 $40K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 149 148 $19K
D0330 Panoramic radiographic image 335 335 $10K
D9222 104 103 $6K
D0140 Limited oral evaluation - problem focused 284 284 $3K