Medicaid Provider Spending

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

JEROME, RODLIN

NPI: 1124398813 · MIAMI SHORES, FL 33168 · General Practice Dentistry · NPI assigned 01/11/2012

$6K
Total Medicaid Paid
553
Total Claims
425
Beneficiaries
8
Codes Billed
2022-08
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 382 $6K
2023 171 $672.91

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 34 31 $2K
D0330 Panoramic radiographic image 26 25 $2K
D0150 Comprehensive oral evaluation - new or established patient 39 38 $948.08
D1110 Prophylaxis - adult 12 12 $661.96
D1351 Sealant - per tooth 132 25 $152.00
D0274 Bitewings - four radiographic images 70 64 $88.83
D1208 Topical application of fluoride, excluding varnish 114 108 $0.00
D1330 126 122 $0.00