Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › GA › ACWORTH › CAMPOS, CARISSA

CAMPOS, CARISSA

NPI: 1144563560 · ACWORTH, GA 30101 · General Practice Dentistry · NPI assigned 04/03/2013

$5K
Total Medicaid Paid
736
Total Claims
736
Beneficiaries
4
Codes Billed
2018-02
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $1K
2019 375 $2K
2020 101 $609.05
2021 14 $630.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 249 249 $2K
D0274 Bitewings - four radiographic images 183 183 $1K
D0220 Intraoral - periapical first radiographic image 290 290 $1K
D1110 Prophylaxis - adult 14 14 $630.00