Medicaid Provider Spending

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

BOONE, MARK

NPI: 1598741779 · FPO, AP 96350 · Pediatric Dentist · NPI assigned 12/19/2005

$14K
Total Medicaid Paid
1,047
Total Claims
965
Beneficiary Records
7
Codes Billed
2022-10
First Month
2024-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 66 $1K
2023 940 $12K
2024 41 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 264 247 $5K
D1206 Topical application of fluoride varnish 297 279 $3K
D0120 Periodic oral evaluation - established patient 237 221 $2K
D0272 Bitewings - two radiographic images 59 55 $1K
D0230 Intraoral - periapical each additional radiographic image 93 72 $741.03
D0220 Intraoral - periapical first radiographic image 84 78 $697.44
D0150 Comprehensive oral evaluation - new or established patient 13 13 $529.10