Medicaid Provider Spending

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

VARGHESE, LINCY

NPI: 1568965507 · DOWNERS GROVE, IL 60515 · General Practice Dentistry · NPI assigned 03/15/2018

$68K
Total Medicaid Paid
2,134
Total Claims
1,958
Beneficiaries
12
Codes Billed
2023-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 67 $2K
2024 2,067 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 452 452 $19K
D1351 Sealant - per tooth 327 160 $19K
D0120 Periodic oral evaluation - established patient 540 540 $16K
D1206 Topical application of fluoride varnish 447 447 $12K
D0274 Bitewings - four radiographic images 43 43 $837.48
D0220 Intraoral - periapical first radiographic image 95 92 $627.95
D1110 Prophylaxis - adult 12 12 $580.56
D1354 22 16 $490.05
D0230 Intraoral - periapical each additional radiographic image 47 47 $282.24
D0602 33 33 $0.00
D0601 85 85 $0.00
D0603 31 31 $0.00