Medicaid Provider Spending

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

SMITH, SAMUEL

NPI: 1164859567 · KILL DEVIL HILLS, NC 27948 · Dentist · NPI assigned 09/30/2013

$9K
Total Medicaid Paid
362
Total Claims
347
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 362 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 130 125 $4K
D0120 Periodic oral evaluation - established patient 146 139 $3K
D0140 Limited oral evaluation - problem focused 27 26 $848.44
D1208 Topical application of fluoride, excluding varnish 59 57 $817.44