Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MORTON GROVE
› IFANTIS, JOHN
IFANTIS, JOHN
NPI: 1134274657 · MORTON GROVE, IL 60053 ·
General Practice Dentistry
· NPI assigned 01/24/2007
$2K
Total Medicaid Paid
55
Total Claims
44
Beneficiaries
3
Codes Billed
2020-07
First Month
2020-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
55
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
Prophylaxis - child
20
16
$697.00
D0120
Periodic oral evaluation - established patient
18
15
$448.00
D1208
Topical application of fluoride, excluding varnish
17
13
$390.00