Medicaid Provider Spending

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

WILLIAMSON, JACE

NPI: 1336375831 · MESQUITE, TX 75181 · Dentist · NPI assigned 06/10/2009

$7K
Total Medicaid Paid
418
Total Claims
404
Beneficiaries
6
Codes Billed
2021-01
First Month
2024-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 88 $1K
2022 107 $2K
2023 211 $3K
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 110 106 $3K
D1208 Topical application of fluoride, excluding varnish 148 143 $2K
D1110 Prophylaxis - adult 16 15 $824.32
D0274 Bitewings - four radiographic images 16 15 $520.54
D1120 Prophylaxis - child 13 12 $367.50
D0603 115 113 $0.00