Medicaid Provider Spending

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

DANIEL J. BEAVERS, D.D.S., P.A.

NPI: 1366046765 · LINCOLN, AR 72744 · Dentist · NPI assigned 11/25/2020

$4K
Total Medicaid Paid
158
Total Claims
154
Beneficiaries
6
Codes Billed
2021-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBEAVERS, DANIEL (GENERAL DENTIST)
NPI Enumeration Date11/25/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 66 $2K
2022 67 $1K
2023 12 $319.20
2024 13 $266.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 58 57 $1K
D0220 Intraoral - periapical first radiographic image 42 39 $720.05
D0272 Bitewings - two radiographic images 18 18 $444.60
D1120 Prophylaxis - child 12 12 $433.20
D0140 Limited oral evaluation - problem focused 12 12 $410.40
D1208 Topical application of fluoride, excluding varnish 16 16 $319.20