Medicaid Provider Spending

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

HITE, DON

NPI: 1447365002 · INDEPENDENCE, MO 64055 · General Practice Dentistry · NPI assigned 08/21/2006

$22K
Total Medicaid Paid
1,648
Total Claims
1,601
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 591 $10K
2019 1,028 $13K
2020 29 $198.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 159 158 $5K
D0230 Intraoral - periapical each additional radiographic image 362 328 $4K
D0350 201 199 $3K
D1120 Prophylaxis - child 173 171 $3K
D0220 Intraoral - periapical first radiographic image 344 341 $3K
D1206 Topical application of fluoride varnish 206 204 $2K
D0272 Bitewings - two radiographic images 124 122 $2K
D0120 Periodic oral evaluation - established patient 66 65 $1K
D0274 Bitewings - four radiographic images 13 13 $118.00