Medicaid Provider Spending

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

ANDREWS, VICTOR

NPI: 1366444242 · DEXTER, ME 04930 · General Practice Dentistry · NPI assigned 08/11/2005

$32K
Total Medicaid Paid
1,443
Total Claims
1,395
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 783 $17K
2019 460 $11K
2020 200 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 477 458 $13K
D1110 Prophylaxis - adult 166 162 $6K
D1206 Topical application of fluoride varnish 479 457 $5K
D1120 Prophylaxis - child 103 102 $3K
D1330 179 177 $2K
D0330 Panoramic radiographic image 27 27 $1K
D0274 Bitewings - four radiographic images 12 12 $240.00