Medicaid Provider Spending

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

DALE, JOHN

NPI: 1285739839 · STATESVILLE, NC 28677 · General Practice Dentistry · NPI assigned 09/14/2006

$28K
Total Medicaid Paid
1,365
Total Claims
1,023
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,207 $25K
2019 158 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 309 305 $11K
D0120 Periodic oral evaluation - established patient 335 329 $7K
D0230 Intraoral - periapical each additional radiographic image 414 99 $3K
D0274 Bitewings - four radiographic images 122 118 $3K
D0220 Intraoral - periapical first radiographic image 156 146 $2K
D0330 Panoramic radiographic image 17 14 $785.48
D0150 Comprehensive oral evaluation - new or established patient 12 12 $481.92