Medicaid Provider Spending

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

WALSH, VIRGINIA

NPI: 1467614354 · RANDOLPH, NJ 07869 · General Practice Dentistry · NPI assigned 07/01/2008

$29K
Total Medicaid Paid
1,077
Total Claims
951
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 830 $22K
2019 247 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 192 192 $10K
D0120 Periodic oral evaluation - established patient 170 170 $5K
D1208 Topical application of fluoride, excluding varnish 187 187 $5K
D1351 Sealant - per tooth 158 32 $4K
D0272 Bitewings - two radiographic images 208 208 $2K
D0240 125 125 $1K
D1206 Topical application of fluoride varnish 37 37 $1K