Medicaid Provider Spending

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

PARK, ZIVIN

NPI: 1124409560 · PORTAGE, MI 49002 · Dentist · NPI assigned 06/11/2015

$18K
Total Medicaid Paid
396
Total Claims
312
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 396 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 96 36 $7K
D1110 Prophylaxis - adult 112 112 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 40 18 $4K
D0120 Periodic oral evaluation - established patient 105 105 $2K
D0274 Bitewings - four radiographic images 15 14 $414.40
D0220 Intraoral - periapical first radiographic image 28 27 $382.10