Medicaid Provider Spending

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

LIGGETT, JUSTIN

NPI: 1184090201 · SONORA, CA 95370 · Dentist · NPI assigned 08/12/2015

$29K
Total Medicaid Paid
547
Total Claims
507
Beneficiaries
7
Codes Billed
2019-11
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 162 $7K
2020 385 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 61 38 $6K
D1110 Prophylaxis - adult 80 80 $5K
D1120 Prophylaxis - child 91 91 $5K
D0120 Periodic oral evaluation - established patient 132 131 $4K
D1206 Topical application of fluoride varnish 115 115 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 27 $4K
D0274 Bitewings - four radiographic images 26 25 $863.50