Medicaid Provider Spending

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

RICHARDSON, ANDREW

NPI: 1316202120 · ROBERTSDALE, AL 36567 · Pediatric Dentist · NPI assigned 07/09/2012

$13K
Total Medicaid Paid
632
Total Claims
411
Beneficiaries
6
Codes Billed
2018-02
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 632 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 185 12 $6K
D1120 Prophylaxis - child 125 121 $2K
D1208 Topical application of fluoride, excluding varnish 142 138 $2K
D0120 Periodic oral evaluation - established patient 74 72 $1K
D0272 Bitewings - two radiographic images 60 41 $522.00
D0220 Intraoral - periapical first radiographic image 46 27 $270.50