Medicaid Provider Spending

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

BEVEL, OTIS

NPI: 1518643352 · MENTOR, OH 44060 · General Practice Dentistry · NPI assigned 06/26/2023

$61K
Total Medicaid Paid
359
Total Claims
286
Beneficiaries
7
Codes Billed
2024-09
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 359 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 40 26 $32K
D2950 56 32 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 59 27 $7K
D0150 Comprehensive oral evaluation - new or established patient 112 109 $5K
D0210 Intraoral - complete series of radiographic images 40 40 $5K
D0330 Panoramic radiographic image 40 40 $3K
D1110 Prophylaxis - adult 12 12 $782.64