Medicaid Provider Spending

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

WISNIEWSKI, PHILIP

NPI: 1386788610 · HOLLAND, MI 49424 · General Practice Dentistry · NPI assigned 02/19/2007

$21K
Total Medicaid Paid
757
Total Claims
739
Beneficiaries
9
Codes Billed
2018-02
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $2K
2019 98 $2K
2020 304 $9K
2021 275 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 128 128 $6K
D0120 Periodic oral evaluation - established patient 196 196 $5K
D0210 Intraoral - complete series of radiographic images 56 56 $3K
D0150 Comprehensive oral evaluation - new or established patient 73 73 $2K
D1206 Topical application of fluoride varnish 121 121 $2K
D0220 Intraoral - periapical first radiographic image 130 112 $2K
D0274 Bitewings - four radiographic images 24 24 $685.00
D1120 Prophylaxis - child 17 17 $600.00
D0431 12 12 $0.00