Medicaid Provider Spending

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

SIU, JOHN

NPI: 1386956514 · KATY, TX 77494 · General Practice Dentistry · NPI assigned 07/02/2010

$14K
Total Medicaid Paid
882
Total Claims
801
Beneficiaries
9
Codes Billed
2020-11
First Month
2024-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 86 $1K
2021 620 $9K
2022 13 $191.10
2023 138 $3K
2024 25 $537.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 145 145 $4K
D1208 Topical application of fluoride, excluding varnish 260 258 $4K
D0230 Intraoral - periapical each additional radiographic image 204 127 $2K
D0220 Intraoral - periapical first radiographic image 148 146 $2K
D1120 Prophylaxis - child 26 26 $918.75
D1110 Prophylaxis - adult 12 12 $658.56
D0274 Bitewings - four radiographic images 15 15 $507.73
D0603 60 60 $0.00
D0602 12 12 $0.00