Medicaid Provider Spending

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

JONATHAN E MASON DMD PC

NPI: 1609516749 · RICHMOND, VT 05477 · General Practice Dentistry · NPI assigned 03/29/2022

$10K
Total Medicaid Paid
396
Total Claims
328
Beneficiaries
4
Codes Billed
2022-08
First Month
2023-10
Last Month

Provider Details

Authorized OfficialJOHNSON, VICTORIA (VP RCM)
Parent OrganizationJONATHAN E MASON DMD PC
NPI Enumeration Date03/29/2022

Related Entities

Other providers sharing the same authorized official: JOHNSON, VICTORIA

ProviderCityStateTotal Paid
JONATHAN E MASON DMD PC RUTLAND VT $70K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 194 $4K
2023 202 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 139 116 $5K
D1206 Topical application of fluoride varnish 194 168 $3K
D0120 Periodic oral evaluation - established patient 51 32 $750.00
D1120 Prophylaxis - child 12 12 $238.00