Medicaid Provider Spending

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

TENNISWOOD, CASEY

NPI: 1164653630 · CLIFTON PARK, NY 12065 · Dentist · NPI assigned 08/01/2009

$51K
Total Medicaid Paid
2,334
Total Claims
2,328
Beneficiaries
10
Codes Billed
2018-08
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119 $4K
2019 732 $23K
2020 735 $13K
2021 736 $11K
2023 12 $493.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 537 537 $23K
D0120 Periodic oral evaluation - established patient 515 515 $14K
D1208 Topical application of fluoride, excluding varnish 310 310 $4K
D1206 Topical application of fluoride varnish 144 144 $4K
D1110 Prophylaxis - adult 40 40 $2K
D0272 Bitewings - two radiographic images 83 83 $1K
D0150 Comprehensive oral evaluation - new or established patient 43 43 $1K
D1999 220 214 $0.00
D1330 251 251 $0.00
D0603 191 191 $0.00