Medicaid Provider Spending

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

STEPHEN P. MAYER, D.D.S., INC.

NPI: 1306027883 · VINITA, OK 74301 · General Practice Dentistry · NPI assigned 11/26/2007

$87K
Total Medicaid Paid
4,512
Total Claims
4,114
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialMAYER, BRIAN (MANAGER)
NPI Enumeration Date11/26/2007

Related Entities

Other providers sharing the same authorized official: MAYER, BRIAN

ProviderCityStateTotal Paid
ROTHALL, INC. PUEBLO CO $343K
CURA WOUNDS LLC YOUNGSTOWN OH $11K
ACTIVGUARD LLC PUEBLO CO $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,577 $30K
2019 1,450 $27K
2020 1,436 $29K
2021 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,092 1,092 $22K
D1120 Prophylaxis - child 545 545 $16K
D1110 Prophylaxis - adult 358 358 $15K
D1206 Topical application of fluoride varnish 1,061 1,061 $15K
D0220 Intraoral - periapical first radiographic image 537 536 $8K
D0230 Intraoral - periapical each additional radiographic image 792 402 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19 12 $2K
D0274 Bitewings - four radiographic images 60 60 $2K
D0330 Panoramic radiographic image 15 15 $676.50
D0272 Bitewings - two radiographic images 33 33 $603.90