Medicaid Provider Spending

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

RJ WEAVER PLLC

NPI: 1538408497 · GRUNDY CENTER, IA 50638 · General Practice Dentistry · NPI assigned 02/12/2013

$23K
Total Medicaid Paid
1,190
Total Claims
1,123
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWEAVER, RYAN (OWNER)
NPI Enumeration Date02/12/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $2K
2019 84 $890.30
2021 64 $924.11
2022 256 $4K
2023 280 $6K
2024 359 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 596 562 $11K
D1206 Topical application of fluoride varnish 426 402 $7K
D1120 Prophylaxis - child 99 95 $3K
D1110 Prophylaxis - adult 57 52 $2K
D0274 Bitewings - four radiographic images 12 12 $448.31