Medicaid Provider Spending

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

JEFFERY, DARRIN

NPI: 1528076965 · RICHFIELD, UT 84701 · General Practice Dentistry · NPI assigned 08/03/2006

$22K
Total Medicaid Paid
375
Total Claims
324
Beneficiaries
5
Codes Billed
2018-02
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $7K
2019 158 $8K
2020 32 $3K
2021 67 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 233 205 $22K
D1120 Prophylaxis - child 54 48 $245.53
D1110 Prophylaxis - adult 19 13 $49.26
D1206 Topical application of fluoride varnish 50 46 $41.60
D0274 Bitewings - four radiographic images 19 12 $0.00