Medicaid Provider Spending

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

MENSAH, NAANA

NPI: 1619492907 · WESTMONT, IL 60559 · Dentist · NPI assigned 08/08/2017

$5K
Total Medicaid Paid
263
Total Claims
250
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 184 $4K
2019 79 $889.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 64 61 $2K
D0150 Comprehensive oral evaluation - new or established patient 98 93 $2K
D1206 Topical application of fluoride varnish 43 41 $650.00
D0210 Intraoral - complete series of radiographic images 16 16 $128.00
D0274 Bitewings - four radiographic images 15 13 $84.50
D0330 Panoramic radiographic image 13 13 $45.20
D0220 Intraoral - periapical first radiographic image 14 13 $33.60