Medicaid Provider Spending

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

JIA, ZONGJIAN

NPI: 1568800464 · ST JOHNSBURY, VT 05819 · General Practice Dentistry · NPI assigned 06/13/2013

$43K
Total Medicaid Paid
1,364
Total Claims
1,294
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 758 $23K
2019 398 $13K
2020 208 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 435 414 $19K
D0120 Periodic oral evaluation - established patient 553 526 $13K
D1120 Prophylaxis - child 119 113 $4K
D1206 Topical application of fluoride varnish 154 149 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $2K
D0274 Bitewings - four radiographic images 56 56 $2K
D0210 Intraoral - complete series of radiographic images 12 12 $768.00
D0150 Comprehensive oral evaluation - new or established patient 14 12 $471.00