Medicaid Provider Spending

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

BLASS, ANGELINA

NPI: 1639292378 · ANKENY, IA 50023 · Dentist · NPI assigned 04/09/2007

$17K
Total Medicaid Paid
717
Total Claims
692
Beneficiaries
8
Codes Billed
2018-02
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 175 $5K
2019 237 $6K
2020 305 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 168 164 $6K
D0120 Periodic oral evaluation - established patient 247 241 $5K
D1206 Topical application of fluoride varnish 176 171 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 12 $1K
D0150 Comprehensive oral evaluation - new or established patient 41 41 $1K
D0274 Bitewings - four radiographic images 26 25 $591.34
D1120 Prophylaxis - child 12 12 $372.75
D1999 27 26 $0.00