Medicaid Provider Spending

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

ERICSON, SEAN

NPI: 1265860233 · MARION, IL 62959 · General Practice Dentistry · NPI assigned 10/29/2013

$80K
Total Medicaid Paid
3,961
Total Claims
3,197
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,551 $59K
2019 1,123 $17K
2020 287 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 749 719 $20K
D1351 Sealant - per tooth 769 174 $13K
D1120 Prophylaxis - child 500 470 $10K
D1206 Topical application of fluoride varnish 786 752 $10K
D1110 Prophylaxis - adult 238 226 $6K
D0150 Comprehensive oral evaluation - new or established patient 133 117 $6K
D0274 Bitewings - four radiographic images 238 226 $5K
D0210 Intraoral - complete series of radiographic images 149 132 $4K
D0272 Bitewings - two radiographic images 316 298 $4K
D0330 Panoramic radiographic image 83 83 $2K