Medicaid Provider Spending

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

BROWN, MARY

NPI: 1639586571 · THERMOPOLIS, WY 82443 · Dentist · NPI assigned 07/11/2014

$3K
Total Medicaid Paid
129
Total Claims
128
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 129 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 55 54 $1K
D1120 Prophylaxis - child 27 27 $1K
D1206 Topical application of fluoride varnish 47 47 $952.28