Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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VERMILLION
› SMITH, JOHN
SMITH, JOHN
NPI: 1306053996 · VERMILLION, SD 57069 ·
General Practice Dentistry
· NPI assigned 05/16/2007
$5K
Total Medicaid Paid
236
Total Claims
213
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-02
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
193
$4K
2019
43
$905.77
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
Topical application of fluoride varnish
85
85
$2K
D1120
Prophylaxis - child
45
45
$2K
D1351
Sealant - per tooth
40
17
$1K
D0603
66
66
$307.96