Medicaid Provider Spending

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

KELLY K. SAWYER, D.D.S., P.A.

NPI: 1548443203 · SAN ANGELO, TX 76904 · Pediatric Dentist · NPI assigned 12/17/2007

$40K
Total Medicaid Paid
2,549
Total Claims
2,367
Beneficiaries
6
Codes Billed
2020-11
First Month
2022-07
Last Month

Provider Details

Authorized OfficialSAWYER, KELLY (OWNER)
NPI Enumeration Date12/17/2007

Related Entities

Other providers sharing the same authorized official: SAWYER, KELLY

ProviderCityStateTotal Paid
PROACTIVE INTENTION LLC ROCHESTER HILLS MI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 137 $3K
2021 1,584 $25K
2022 828 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 559 516 $16K
D0120 Periodic oral evaluation - established patient 605 560 $13K
D1206 Topical application of fluoride varnish 628 586 $7K
D0272 Bitewings - two radiographic images 208 185 $4K
D1351 Sealant - per tooth 35 14 $711.68
D0601 514 506 $0.00