Medicaid Provider Spending

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

NOWACKI, KAMIL

NPI: 1396304549 · CRYSTAL LAKE, IL 60012 · General Practice Dentistry · NPI assigned 06/11/2019

$8K
Total Medicaid Paid
427
Total Claims
283
Beneficiaries
5
Codes Billed
2020-07
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 427 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 127 91 $3K
D1120 Prophylaxis - child 80 50 $3K
D1206 Topical application of fluoride varnish 75 45 $2K
D0220 Intraoral - periapical first radiographic image 74 50 $369.60
D0230 Intraoral - periapical each additional radiographic image 71 47 $250.80