Medicaid Provider Spending

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

TIDWELL, SCOTT

NPI: 1538153481 · ARVADA, CO 80005 · General Practice Dentistry · NPI assigned 09/07/2005

$6K
Total Medicaid Paid
243
Total Claims
207
Beneficiaries
5
Codes Billed
2019-01
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 243 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 61 53 $3K
D0120 Periodic oral evaluation - established patient 68 59 $2K
D0220 Intraoral - periapical first radiographic image 82 69 $998.54
D0274 Bitewings - four radiographic images 14 12 $397.88
D0230 Intraoral - periapical each additional radiographic image 18 14 $216.36