Medicaid Provider Spending

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

ODOOM, NANA

NPI: 1629326319 · MECHANICSBURG, PA 17050 · Dentist · NPI assigned 08/28/2012

$20K
Total Medicaid Paid
348
Total Claims
336
Beneficiaries
5
Codes Billed
2024-03
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 348 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 122 120 $9K
D1206 Topical application of fluoride varnish 120 118 $6K
D0272 Bitewings - two radiographic images 46 44 $2K
D0220 Intraoral - periapical first radiographic image 45 41 $2K
D0120 Periodic oral evaluation - established patient 15 13 $828.00