Medicaid Provider Spending

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

GRANT B OSEROWSKY DDS PLLC

NPI: 1255085684 · BENTONVILLE, AR 72712 · Dental Clinic/Center · NPI assigned 02/04/2022

$2K
Total Medicaid Paid
67
Total Claims
67
Beneficiaries
4
Codes Billed
2022-08
First Month
2022-12
Last Month

Provider Details

Authorized OfficialOSEROWSKY, GRANT (CEO)
NPI Enumeration Date02/04/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $497.17
D1208 Topical application of fluoride, excluding varnish 27 27 $494.83
D0120 Periodic oral evaluation - established patient 13 13 $319.20
D0272 Bitewings - two radiographic images 15 15 $227.00