Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SITAR, JEFFERY
NPI: 1346380920 · MT PLEASANT, IA 52641 ·
General Practice Dentistry
· NPI assigned 02/06/2007
$5K
Total Medicaid Paid
222
Total Claims
213
Beneficiaries
3
Codes Billed
2021-05
First Month
2022-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
197
$4K
2022
25
$388.43
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
133
128
$3K
D1206
Topical application of fluoride varnish
76
73
$1K
D1110
Prophylaxis - adult
13
12
$575.71