Medicaid Provider Spending

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

DESHAZER, ERIC

NPI: 1619067733 · LINCOLN, NE 68516 · Dentist · NPI assigned 10/13/2006

$13K
Total Medicaid Paid
152
Total Claims
152
Beneficiaries
4
Codes Billed
2018-09
First Month
2018-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 38 38 $6K
D1206 Topical application of fluoride varnish 81 81 $4K
D1110 Prophylaxis - adult 19 19 $3K
D0220 Intraoral - periapical first radiographic image 14 14 $176.92