Medicaid Provider Spending

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

DRS. TESENE, MAURER AND MAURER,DDS, PC

NPI: 1487687919 · GARNER, IA 50438 · General Practice Dentistry · NPI assigned 07/08/2006

$53K
Total Medicaid Paid
2,904
Total Claims
2,689
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTESENE, ROY (PRESIDENT)
NPI Enumeration Date07/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 220 $4K
2019 216 $4K
2020 286 $5K
2021 460 $8K
2022 461 $8K
2023 675 $13K
2024 586 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,441 1,326 $25K
D1208 Topical application of fluoride, excluding varnish 919 865 $15K
D1110 Prophylaxis - adult 192 177 $6K
D1206 Topical application of fluoride varnish 228 206 $4K
D1120 Prophylaxis - child 96 90 $3K
D0274 Bitewings - four radiographic images 28 25 $543.32