Medicaid Provider Spending

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

ALLEN, HILARY

NPI: 1568022044 · CLOVIS, NM 88101 · Dentist · NPI assigned 06/17/2019

$30K
Total Medicaid Paid
938
Total Claims
760
Beneficiaries
10
Codes Billed
2024-02
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 938 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 161 161 $6K
D1206 Topical application of fluoride varnish 167 167 $5K
D1351 Sealant - per tooth 110 33 $5K
D1354 161 62 $5K
D0120 Periodic oral evaluation - established patient 114 114 $4K
D0272 Bitewings - two radiographic images 115 115 $2K
D0150 Comprehensive oral evaluation - new or established patient 43 43 $2K
D0274 Bitewings - four radiographic images 14 14 $550.20
D0220 Intraoral - periapical first radiographic image 26 26 $255.58
D0230 Intraoral - periapical each additional radiographic image 27 25 $255.58