Medicaid Provider Spending

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

HALDERMAN, LOGAN

NPI: 1174981575 · GREENVILLE, OH 45331 · Dentist · NPI assigned 02/01/2016

$3K
Total Medicaid Paid
182
Total Claims
181
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $1K
2021 60 $1K
2022 61 $928.14

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 131 131 $2K
D1120 Prophylaxis - child 18 18 $357.00
D1208 Topical application of fluoride, excluding varnish 20 20 $315.00
D0220 Intraoral - periapical first radiographic image 13 12 $67.50