Medicaid Provider Spending

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

ETHERTON, JASON

NPI: 1306912621 · VALLEY, AL 36854 · General Practice Dentistry · NPI assigned 11/28/2006

$55K
Total Medicaid Paid
2,899
Total Claims
2,659
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 840 $16K
2019 571 $13K
2020 347 $7K
2021 142 $3K
2022 306 $6K
2023 320 $5K
2024 373 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,485 1,354 $24K
D1120 Prophylaxis - child 583 546 $14K
D1110 Prophylaxis - adult 420 384 $11K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 191 166 $3K
D1208 Topical application of fluoride, excluding varnish 93 91 $1K
D0274 Bitewings - four radiographic images 59 53 $403.20
D0140 Limited oral evaluation - problem focused 14 12 $375.00
D0272 Bitewings - two radiographic images 25 25 $352.00
D1999 29 28 $40.00