Medicaid Provider Spending

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

DEGENHARDT, STEPHEN

NPI: 1285120071 · TROY, MI 48084 · Dentist · NPI assigned 07/05/2018

$16K
Total Medicaid Paid
649
Total Claims
621
Beneficiaries
8
Codes Billed
2020-12
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 340 $7K
2021 309 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 158 148 $6K
D1206 Topical application of fluoride varnish 159 149 $4K
D0120 Periodic oral evaluation - established patient 137 130 $4K
D0220 Intraoral - periapical first radiographic image 85 84 $464.80
D0274 Bitewings - four radiographic images 22 22 $311.70
D0140 Limited oral evaluation - problem focused 16 16 $243.00
D0230 Intraoral - periapical each additional radiographic image 54 54 $205.20
D0272 Bitewings - two radiographic images 18 18 $150.40