Medicaid Provider Spending

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

N.E. GROVER,D.M.D.,P.C.

NPI: 1649334665 · SAINT JAMES, MO 65559 · General Practice Dentistry · NPI assigned 12/21/2006

$13K
Total Medicaid Paid
674
Total Claims
603
Beneficiaries
8
Codes Billed
2018-03
First Month
2020-02
Last Month

Provider Details

Authorized OfficialGROVER, DEANNA (OFFICE MANAGER)
NPI Enumeration Date12/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 199 $4K
2019 312 $6K
2020 163 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 117 112 $3K
D0272 Bitewings - two radiographic images 241 222 $3K
D0120 Periodic oral evaluation - established patient 137 122 $3K
D0150 Comprehensive oral evaluation - new or established patient 63 51 $2K
D0330 Panoramic radiographic image 67 60 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 25 12 $1K
D1208 Topical application of fluoride, excluding varnish 12 12 $107.82
D0220 Intraoral - periapical first radiographic image 12 12 $99.84