Medicaid Provider Spending

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

YOM, RINA

NPI: 1619552569 · WATERTOWN, NY 13601 · Dentist · NPI assigned 03/12/2021

$14K
Total Medicaid Paid
516
Total Claims
516
Beneficiaries
8
Codes Billed
2024-06
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 516 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 106 106 $4K
D1110 Prophylaxis - adult 64 64 $3K
D0120 Periodic oral evaluation - established patient 134 134 $3K
D0274 Bitewings - four radiographic images 53 53 $2K
D1208 Topical application of fluoride, excluding varnish 76 76 $989.50
D0150 Comprehensive oral evaluation - new or established patient 28 28 $783.10
D1206 Topical application of fluoride varnish 39 39 $646.00
D0272 Bitewings - two radiographic images 16 16 $346.15