Medicaid Provider Spending

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

KITCHENS, CLOVIS

NPI: 1336298066 · LITTLE ROCK, AR 72223 · Pediatric Dentist · NPI assigned 01/10/2007

$13K
Total Medicaid Paid
577
Total Claims
556
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 577 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 181 173 $5K
D1120 Prophylaxis - child 133 128 $4K
D1208 Topical application of fluoride, excluding varnish 150 144 $3K
D0272 Bitewings - two radiographic images 44 44 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13 13 $345.80
D0603 56 54 $275.00