Medicaid Provider Spending

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

JONATHAN E MASON DMD PC

NPI: 1215679568 · RUTLAND, VT 05701 · General Practice Dentistry · NPI assigned 04/08/2022

$70K
Total Medicaid Paid
3,288
Total Claims
2,064
Beneficiaries
8
Codes Billed
2021-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, VICTORIA (VP RCM)
Parent OrganizationJONATHAN E MASON DMD PC
NPI Enumeration Date04/08/2022

Related Entities

Other providers sharing the same authorized official: JOHNSON, VICTORIA

ProviderCityStateTotal Paid
JONATHAN E MASON DMD PC RICHMOND VT $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $0.00
2022 1,144 $9K
2023 1,534 $38K
2024 593 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 946 642 $34K
D0120 Periodic oral evaluation - established patient 918 525 $15K
D1208 Topical application of fluoride, excluding varnish 820 498 $9K
D1120 Prophylaxis - child 224 123 $4K
D1206 Topical application of fluoride varnish 164 132 $4K
D0274 Bitewings - four radiographic images 119 53 $2K
D0220 Intraoral - periapical first radiographic image 72 67 $1K
D0230 Intraoral - periapical each additional radiographic image 25 24 $154.00