Medicaid Provider Spending

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

PENN, SHELTON

NPI: 1538383740 · WASHINGTON, DC 20003 · General Practice Dentistry · NPI assigned 04/12/2007

$23K
Total Medicaid Paid
568
Total Claims
559
Beneficiaries
5
Codes Billed
2018-09
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $5K
2019 450 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 177 176 $12K
D0120 Periodic oral evaluation - established patient 168 167 $5K
D1208 Topical application of fluoride, excluding varnish 180 179 $4K
D0140 Limited oral evaluation - problem focused 30 25 $1K
D0470 13 12 $587.70