Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › LORTON › DO, CHI

DO, CHI

NPI: 1609104173 · LORTON, VA 22079 · Dentist · NPI assigned 11/21/2009

$532.22
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $532.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 13 13 $270.27
D0120 Periodic oral evaluation - established patient 13 13 $261.95