Medicaid Provider Spending

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

CHAVEZ, JUAN

NPI: 1295033843 · OREM, UT 84097 · General Practice Dentistry · NPI assigned 03/07/2011

$22K
Total Medicaid Paid
1,136
Total Claims
902
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 642 $12K
2019 494 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 117 106 $12K
D0120 Periodic oral evaluation - established patient 95 83 $9K
D1110 Prophylaxis - adult 166 142 $761.48
D0230 Intraoral - periapical each additional radiographic image 266 140 $84.63
D0220 Intraoral - periapical first radiographic image 234 204 $11.68
D0274 Bitewings - four radiographic images 133 116 $0.00
D1120 Prophylaxis - child 16 16 $0.00
D0210 Intraoral - complete series of radiographic images 61 52 $0.00
D1206 Topical application of fluoride varnish 48 43 $0.00