Medicaid Provider Spending

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

WEATHERALL, FELICIA

NPI: 1316960313 · CYPRESS, TX 77429 · General Practice Dentistry · NPI assigned 07/25/2006

$7K
Total Medicaid Paid
434
Total Claims
372
Beneficiaries
7
Codes Billed
2021-01
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 236 $3K
2022 83 $824.28
2023 115 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 33 12 $2K
D0120 Periodic oral evaluation - established patient 73 62 $2K
D1208 Topical application of fluoride, excluding varnish 90 82 $1K
D1120 Prophylaxis - child 28 25 $808.50
D0220 Intraoral - periapical first radiographic image 67 61 $476.68
D0230 Intraoral - periapical each additional radiographic image 49 43 $299.26
D0602 94 87 $0.03