Medicaid Provider Spending

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

PANTANO, TAMATHA

NPI: 1619279577 · CLINTON, MD 20735 · General Practice Dentistry · NPI assigned 11/29/2010

$70K
Total Medicaid Paid
2,160
Total Claims
2,081
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 597 $19K
2019 1,270 $41K
2020 293 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 533 515 $22K
D1208 Topical application of fluoride, excluding varnish 777 751 $17K
D0120 Periodic oral evaluation - established patient 457 443 $13K
D0150 Comprehensive oral evaluation - new or established patient 187 177 $9K
D0330 Panoramic radiographic image 101 97 $4K
D1110 Prophylaxis - adult 59 59 $3K
D0274 Bitewings - four radiographic images 27 25 $550.00
D0272 Bitewings - two radiographic images 19 14 $210.00