Medicaid Provider Spending

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

BRAUER, JACK

NPI: 1407187362 · MIDWAY, UT 84049 · General Practice Dentistry · NPI assigned 01/15/2010

$34K
Total Medicaid Paid
966
Total Claims
801
Beneficiary Records
7
Codes Billed
2020-09
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 248 $12K
2021 718 $22K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D4355 131 114 $14K
D0140 Limited oral evaluation - problem focused 297 258 $8K
D0150 Comprehensive oral evaluation - new or established patient 132 106 $4K
D0120 Periodic oral evaluation - established patient 202 154 $4K
D1110 Prophylaxis - adult 47 43 $3K
D0210 Intraoral - complete series of radiographic images 20 14 $1K
D9995 137 112 $0.00