Medicaid Provider Spending

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

PETERS, RYAN

NPI: 1396304283 · CLINTON, MO 64735 · Dentist · NPI assigned 06/13/2019

$16K
Total Medicaid Paid
309
Total Claims
255
Beneficiaries
7
Codes Billed
2019-11
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 253 $13K
2020 56 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 24 $6K
D1206 Topical application of fluoride varnish 82 81 $3K
D0274 Bitewings - four radiographic images 40 39 $2K
D1120 Prophylaxis - child 42 41 $1K
D1351 Sealant - per tooth 46 14 $1K
D0120 Periodic oral evaluation - established patient 30 30 $1K
D0150 Comprehensive oral evaluation - new or established patient 27 26 $960.00