Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › FAYETTEVILLE › MAXWELL, TYLER

MAXWELL, TYLER

NPI: 1396273298 · FAYETTEVILLE, NY 13066 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/23/2017

$859.00
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2019-04
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $859.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 14 14 $859.00