Medicaid Provider Spending

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

GOMENYUK, NINA

NPI: 1457587297 · BRIGHTON, CO 80601 · General Practice Dentistry · NPI assigned 06/08/2009

$5K
Total Medicaid Paid
167
Total Claims
160
Beneficiaries
4
Codes Billed
2018-02
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $3K
2019 91 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 60 57 $2K
D0120 Periodic oral evaluation - established patient 70 66 $2K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $952.08
D0220 Intraoral - periapical first radiographic image 12 12 $144.24