Medicaid Provider Spending

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

DANIEL BONNER

NPI: 1225554967 · INWOOD, WV 25428 · Dentist · NPI assigned 08/15/2017

$5K
Total Medicaid Paid
188
Total Claims
182
Beneficiary Records
4
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialHESS, AMANDA (OFFICE MANAGER)
NPI Enumeration Date08/15/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 188 $5K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 64 61 $2K
D0120 Periodic oral evaluation - established patient 78 77 $2K
D1110 Prophylaxis - adult 15 15 $770.00
D0272 Bitewings - two radiographic images 31 29 $700.00