Medicaid Provider Spending

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

JACKSON, CHELSEA

NPI: 1235786013 · ANTHEM, AZ 85086 · Dentist · NPI assigned 08/26/2019

$8K

Total Medicaid Paid

358

Total Claims

349

Beneficiaries

10

Codes Billed

2020-01

First Month

2021-04

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	227	$5K
2021	131	$3K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		84	84	$2K
D0210		50	50	$2K
D1110		38	38	$1K
D0120		54	54	$951.22
D1206		40	40	$630.00
D0274		15	15	$315.00
D0350		25	25	$307.75
D1120		14	14	$260.00
D0230		21	12	$105.00
D0220		17	17	$85.00