Medicaid Provider Spending

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

DESTA, DAVID

NPI: 1144610916 · ROCKVILLE, MD 20850 · Endodontist · NPI assigned 01/30/2015

$2K
Total Medicaid Paid
211
Total Claims
201
Beneficiaries
6
Codes Billed
2020-01
First Month
2020-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 211 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 70 64 $1K
D0120 Periodic oral evaluation - established patient 40 38 $339.00
D0274 Bitewings - four radiographic images 37 37 $286.00
D0140 Limited oral evaluation - problem focused 17 17 $236.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $163.00
D0220 Intraoral - periapical first radiographic image 34 32 $139.50