Medicaid Provider Spending

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

WONG, CHELSEA

NPI: 1205373644 · SUNNYVALE, CA 94087 · Pediatric Dentist · NPI assigned 01/24/2017

$7K
Total Medicaid Paid
273
Total Claims
272
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 273 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 64 64 $3K
D0120 Periodic oral evaluation - established patient 67 67 $2K
D0220 Intraoral - periapical first radiographic image 48 47 $784.70
D1206 Topical application of fluoride varnish 27 27 $769.50
D1208 Topical application of fluoride, excluding varnish 31 31 $412.30
D0272 Bitewings - two radiographic images 24 24 $387.60
D0230 Intraoral - periapical each additional radiographic image 12 12 $159.60