Medicaid Provider Spending

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

DENTIST IN ACTION

NPI: 1578692372 · BIRMINGHAM, AL 35215 · Endodontist · NPI assigned 03/05/2007

$4K
Total Medicaid Paid
295
Total Claims
233
Beneficiaries
5
Codes Billed
2018-03
First Month
2021-08
Last Month

Provider Details

Authorized OfficialJACKSON, ADOLPHUS (DENTIST)
NPI Enumeration Date03/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $2K
2019 84 $1K
2020 15 $252.00
2021 32 $458.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 194 153 $2K
D1120 Prophylaxis - child 46 38 $756.00
D1110 Prophylaxis - adult 16 14 $448.00
D1999 19 13 $260.00
D1208 Topical application of fluoride, excluding varnish 20 15 $135.00