Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2018 193 $4K
2019 43 $905.77

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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