Medicaid Provider Spending

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

HANNA, ODENA

NPI: 1417632985 · HACKETTSTOWN, NJ 07840 · General Practice Dentistry · NPI assigned 06/21/2023

$3K
Total Medicaid Paid
127
Total Claims
108
Beneficiaries
5
Codes Billed
2024-02
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 127 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26 12 $1K
D1110 Prophylaxis - adult 26 26 $1K
D0220 Intraoral - periapical first radiographic image 45 43 $180.00
D0140 Limited oral evaluation - problem focused 13 13 $144.00
D0230 Intraoral - periapical each additional radiographic image 17 14 $42.00