Medicaid Provider Spending

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

CASH, LURA

NPI: 1477087591 · MOUNT VERNON, KY 40456 · Dentist · NPI assigned 04/14/2017

$61K
Total Medicaid Paid
1,573
Total Claims
1,471
Beneficiaries
9
Codes Billed
2022-03
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 281 $13K
2023 394 $15K
2024 898 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9420 669 600 $31K
D0120 Periodic oral evaluation - established patient 340 331 $9K
D1110 Prophylaxis - adult 148 145 $8K
D1120 Prophylaxis - child 102 99 $6K
D1206 Topical application of fluoride varnish 124 122 $2K
D0274 Bitewings - four radiographic images 50 50 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18 12 $1K
D0220 Intraoral - periapical first radiographic image 108 100 $1K
D0140 Limited oral evaluation - problem focused 14 12 $508.12