Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › FORT LEONARD WOOD › FAIRBANKS, JAMES

FAIRBANKS, JAMES

NPI: 1356629059 · FORT LEONARD WOOD, MO 65473 · Dentist · NPI assigned 07/28/2011

$18K
Total Medicaid Paid
209
Total Claims
208
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $11K
2020 91 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 77 76 $10K
D0140 Limited oral evaluation - problem focused 13 13 $2K
D1110 Prophylaxis - adult 16 16 $2K
D1120 Prophylaxis - child 27 27 $2K
D1206 Topical application of fluoride varnish 30 30 $368.38
D0274 Bitewings - four radiographic images 14 14 $184.19
D0120 Periodic oral evaluation - established patient 14 14 $67.05
D0191 18 18 $0.00