Medicaid Provider Spending

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

HAWS, ANNELIESE

NPI: 1487879292 · MELBA, ID 83641 · Dentist · NPI assigned 04/16/2007

$2K
Total Medicaid Paid
178
Total Claims
162
Beneficiaries
7
Codes Billed
2018-03
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 178 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $2K
D1120 Prophylaxis - child 12 12 $751.67
D0220 Intraoral - periapical first radiographic image 17 17 $0.00
D0120 Periodic oral evaluation - established patient 42 42 $0.00
D1208 Topical application of fluoride, excluding varnish 51 51 $0.00
D0230 Intraoral - periapical each additional radiographic image 32 16 $0.00
D0272 Bitewings - two radiographic images 12 12 $0.00