Medicaid Provider Spending

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

MACKLEY, PAUL

NPI: 1437168275 · NORTH OGDEN, UT 84414 · General Practice Dentistry · NPI assigned 08/07/2006

$16K
Total Medicaid Paid
823
Total Claims
701
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 695 $13K
2019 128 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 148 146 $15K
D0220 Intraoral - periapical first radiographic image 233 211 $644.68
D1120 Prophylaxis - child 78 78 $33.67
D1206 Topical application of fluoride varnish 94 93 $0.00
D0230 Intraoral - periapical each additional radiographic image 218 123 $0.00
D0272 Bitewings - two radiographic images 13 13 $0.00
D0274 Bitewings - four radiographic images 39 37 $0.00