Medicaid Provider Spending

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

ALBERTALLI-WENSON, OLIVER

NPI: 1194214080 · WASHINGTON, DC 20012 · General Practice Dentistry · NPI assigned 05/07/2018

$36K
Total Medicaid Paid
1,251
Total Claims
1,217
Beneficiaries
9
Codes Billed
2019-12
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $271.04
2020 434 $12K
2021 804 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 137 137 $8K
D1208 Topical application of fluoride, excluding varnish 253 253 $5K
D0120 Periodic oral evaluation - established patient 187 187 $5K
D1120 Prophylaxis - child 102 102 $4K
D0150 Comprehensive oral evaluation - new or established patient 63 63 $4K
D0220 Intraoral - periapical first radiographic image 216 210 $3K
D0274 Bitewings - four radiographic images 86 86 $3K
D0230 Intraoral - periapical each additional radiographic image 178 150 $2K
D0140 Limited oral evaluation - problem focused 29 29 $1K