Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › RIPON › DAVIS, JESSICA

DAVIS, JESSICA

NPI: 1619060795 · RIPON, WI 54971 · General Practice Dentistry · NPI assigned 10/02/2006

$349.18
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
1
Codes Billed
2019-04
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $349.18

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 25 25 $349.18