Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › RANTOUL › WETZEL, ROGER

WETZEL, ROGER

NPI: 1134251523 · RANTOUL, IL 61866 · Dentist · NPI assigned 03/12/2007

$1K
Total Medicaid Paid
32
Total Claims
32
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 16 16 $624.80
D0120 Periodic oral evaluation - established patient 16 16 $424.40