DEXTER, SCOTT
NPI: 1619182813
· LANSING, MI 48917
· Pediatric Dentist
· NPI assigned 05/11/2007
$143K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,397 |
$48K |
| 2019 |
1,134 |
$44K |
| 2020 |
700 |
$23K |
| 2021 |
523 |
$16K |
| 2022 |
380 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,138 |
1,137 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,080 |
1,080 |
$36K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,198 |
1,197 |
$33K |
| D0272 |
Bitewings - two radiographic images |
456 |
456 |
$12K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
36 |
26 |
$7K |
| D9310 |
|
45 |
45 |
$3K |
| D0240 |
|
117 |
59 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
36 |
36 |
$2K |
| D9248 |
|
13 |
13 |
$780.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$280.00 |