Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › DE › MIDDLETOWN › URAM, JACOB

URAM, JACOB

NPI: 1477046472 · MIDDLETOWN, DE 19709 · General Practice Dentistry · NPI assigned 06/13/2018

$4K
Total Medicaid Paid
80
Total Claims
75
Beneficiaries
5
Codes Billed
2020-12
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 63 $4K
2021 17 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 17 17 $2K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $1K
D0274 Bitewings - four radiographic images 18 18 $933.30
D1206 Topical application of fluoride varnish 12 12 $387.96
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 17 12 $0.00