Medicaid Provider Spending

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

IRZYKOWSKI, WANDA

NPI: 1598872475 · EAST BOSTON, MA 02128 · General Practice Dentistry · NPI assigned 08/24/2006

$8K
Total Medicaid Paid
285
Total Claims
279
Beneficiaries
4
Codes Billed
2018-02
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 178 $5K
2019 54 $1K
2021 27 $647.00
2022 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 204 198 $5K
D1110 Prophylaxis - adult 38 38 $2K
D1208 Topical application of fluoride, excluding varnish 27 27 $783.00
D0274 Bitewings - four radiographic images 16 16 $645.00