Medicaid Provider Spending

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

SIDD, JAMES

NPI: 1306860234 · TOHATCHI, NM 87325 · General Practice Dentistry · NPI assigned 07/26/2006

$12K
Total Medicaid Paid
416
Total Claims
382
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 146 $4K
2019 270 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 278 255 $7K
D1110 Prophylaxis - adult 51 46 $2K
D1208 Topical application of fluoride, excluding varnish 75 69 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $1K