Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TRICIA A RAY DMD PC

NPI: 1225368731 · SALEM, OR 97302 · Dental Clinic/Center · NPI assigned 01/05/2010

$43K
Total Medicaid Paid
1,798
Total Claims
1,776
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialRAY, TRICIA (PRESIDENT)
NPI Enumeration Date01/05/2010

Related Entities

Other providers sharing the same authorized official: RAY, TRICIA

ProviderCityStateTotal Paid
BUILDING BLOCKS PEDIATRIC DENTISTRY, PC SALEM OR $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 491 $12K
2019 363 $9K
2020 243 $6K
2021 482 $10K
2022 219 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 558 551 $15K
D1120 Prophylaxis - child 343 338 $13K
D1206 Topical application of fluoride varnish 715 705 $12K
D0274 Bitewings - four radiographic images 52 52 $1K
D0603 118 118 $816.50
D1110 Prophylaxis - adult 12 12 $512.00