Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › MOAB › HUGENTOBLER, MERRILL

HUGENTOBLER, MERRILL

NPI: 1548304496 · MOAB, UT 84532 · General Practice Dentistry · NPI assigned 02/16/2007

$24K
Total Medicaid Paid
645
Total Claims
600
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $4K
2019 91 $1K
2020 119 $6K
2021 104 $7K
2022 156 $5K
2023 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 212 196 $23K
D1120 Prophylaxis - child 139 133 $643.76
D1206 Topical application of fluoride varnish 251 231 $321.60
D0274 Bitewings - four radiographic images 43 40 $0.00