Medicaid Provider Spending

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

JONATHAN B. ECHOLS

NPI: 1477809895 · CULLMAN, AL 35055 · General Practice Dentistry · NPI assigned 08/03/2012

$12K
Total Medicaid Paid
498
Total Claims
480
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-07
Last Month

Provider Details

Authorized OfficialECHOLS, JONATHAN (OWNER)
NPI Enumeration Date08/03/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 155 $3K
2019 145 $4K
2020 92 $2K
2021 80 $2K
2024 26 $700.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 346 330 $8K
D1120 Prophylaxis - child 84 84 $3K
D1206 Topical application of fluoride varnish 25 24 $768.00
D1110 Prophylaxis - adult 13 12 $550.00
D1208 Topical application of fluoride, excluding varnish 30 30 $486.00