Medicaid Provider Spending

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

DAVIS, RICK

NPI: 1568505733 · BLOOMFIELD HILLS, MI 48304 · General Practice Dentistry · NPI assigned 02/15/2007

$3K
Total Medicaid Paid
99
Total Claims
99
Beneficiaries
4
Codes Billed
2018-10
First Month
2018-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 32 32 $1K
D1208 Topical application of fluoride, excluding varnish 33 33 $825.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $720.00
D0220 Intraoral - periapical first radiographic image 18 18 $269.00