Medicaid Provider Spending

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

ORMSON, JON

NPI: 1588928733 · AMARILLO, TX 79106 · General Practice Dentistry · NPI assigned 07/02/2012

$91K
Total Medicaid Paid
6,381
Total Claims
6,081
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 140 $2K
2021 1,428 $11K
2022 1,051 $14K
2023 3,233 $58K
2024 529 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 846 801 $19K
D1120 Prophylaxis - child 542 512 $15K
D1110 Prophylaxis - adult 305 293 $13K
D1208 Topical application of fluoride, excluding varnish 1,005 961 $12K
D0220 Intraoral - periapical first radiographic image 961 905 $9K
D0230 Intraoral - periapical each additional radiographic image 912 860 $8K
D0274 Bitewings - four radiographic images 290 278 $8K
D0272 Bitewings - two radiographic images 346 321 $6K
D0602 1,162 1,138 $0.00
D0603 12 12 $0.00