Medicaid Provider Spending

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

SOHEILA DEGIEUX DDS INC

NPI: 1487868972 · PENACOOK, NH 03303 · General Practice Dentistry · NPI assigned 05/10/2007

$32K
Total Medicaid Paid
963
Total Claims
936
Beneficiaries
7
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialWINCHENBAUGH, JOEL (BUSINESS MANAGER)
NPI Enumeration Date05/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 421 $15K
2019 411 $13K
2020 50 $1K
2021 38 $1K
2022 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 282 262 $14K
D0120 Periodic oral evaluation - established patient 236 233 $7K
D1206 Topical application of fluoride varnish 231 228 $4K
D1120 Prophylaxis - child 105 105 $4K
D0274 Bitewings - four radiographic images 56 55 $2K
D1208 Topical application of fluoride, excluding varnish 40 40 $720.00
D0140 Limited oral evaluation - problem focused 13 13 $585.00