Medicaid Provider Spending

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

ABRAHAM, PHEBA

NPI: 1356964480 · CHICAGO, IL 60612 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/23/2020

$10K
Total Medicaid Paid
326
Total Claims
318
Beneficiaries
7
Codes Billed
2023-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 326 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 86 84 $4K
D0120 Periodic oral evaluation - established patient 97 95 $3K
D1208 Topical application of fluoride, excluding varnish 82 80 $2K
D0330 Panoramic radiographic image 12 12 $336.00
D0140 Limited oral evaluation - problem focused 17 15 $325.04
D0150 Comprehensive oral evaluation - new or established patient 12 12 $312.96
D0274 Bitewings - four radiographic images 20 20 $294.20