Medicaid Provider Spending

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

DAWISHA, VINCENT

NPI: 1265923544 · TROY, MI 48083 · General Practice Dentistry · NPI assigned 05/23/2018

$18K
Total Medicaid Paid
652
Total Claims
646
Beneficiaries
8
Codes Billed
2018-10
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 390 $11K
2019 262 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 119 119 $5K
D0120 Periodic oral evaluation - established patient 138 138 $4K
D1206 Topical application of fluoride varnish 169 169 $3K
D1110 Prophylaxis - adult 54 54 $3K
D0220 Intraoral - periapical first radiographic image 73 71 $1K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $1K
D0274 Bitewings - four radiographic images 28 28 $963.47
D0230 Intraoral - periapical each additional radiographic image 42 38 $352.29