Medicaid Provider Spending

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

KOZLOV, ALEKSEY

NPI: 1124513288 · CEDAR CREST, NM 87008 · General Practice Dentistry · NPI assigned 06/29/2018

$6K
Total Medicaid Paid
265
Total Claims
264
Beneficiaries
8
Codes Billed
2019-01
First Month
2019-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 265 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 99 99 $2K
D1120 Prophylaxis - child 44 44 $1K
D0150 Comprehensive oral evaluation - new or established patient 32 32 $1K
D1110 Prophylaxis - adult 13 13 $582.14
D0220 Intraoral - periapical first radiographic image 39 38 $425.88
D0120 Periodic oral evaluation - established patient 12 12 $261.96
D0272 Bitewings - two radiographic images 13 13 $255.45
D0230 Intraoral - periapical each additional radiographic image 13 13 $113.36