Medicaid Provider Spending

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

SUKIASIAN, LEVON

NPI: 1457648750 · BRENTWOOD, NY 11717 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/07/2011

$56K
Total Medicaid Paid
4,580
Total Claims
4,573
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 699 $8K
2019 1,438 $19K
2020 1,020 $13K
2021 929 $11K
2022 314 $3K
2023 166 $2K
2024 14 $210.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,275 1,275 $20K
D1110 Prophylaxis - adult 336 336 $11K
D1120 Prophylaxis - child 324 324 $8K
D0220 Intraoral - periapical first radiographic image 1,030 1,024 $5K
D0274 Bitewings - four radiographic images 310 310 $4K
D1208 Topical application of fluoride, excluding varnish 378 378 $4K
D0230 Intraoral - periapical each additional radiographic image 900 899 $4K
D0272 Bitewings - two radiographic images 27 27 $222.00