Medicaid Provider Spending

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

RANDY P WALTERS, DMD, PC

NPI: 1437274891 · THOMASVILLE, AL 36784 · Dentist · NPI assigned 03/21/2007

$15K
Total Medicaid Paid
819
Total Claims
713
Beneficiaries
5
Codes Billed
2020-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWALTERS, RANDY (PRESIDENT)
NPI Enumeration Date03/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $726.00
2021 267 $5K
2022 323 $7K
2023 112 $2K
2024 52 $920.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 517 420 $9K
D0120 Periodic oral evaluation - established patient 176 173 $3K
D1206 Topical application of fluoride varnish 71 68 $2K
D1120 Prophylaxis - child 43 40 $1K
D1110 Prophylaxis - adult 12 12 $462.00