Medicaid Provider Spending

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

MARIEN, MANUEL

NPI: 1659333854 · FORT HOOD, TX 76544 · Pediatric Dentist · NPI assigned 04/04/2006

$3K
Total Medicaid Paid
202
Total Claims
169
Beneficiaries
6
Codes Billed
2022-05
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 202 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 24 24 $882.00
D0120 Periodic oral evaluation - established patient 26 26 $750.10
D0230 Intraoral - periapical each additional radiographic image 60 27 $633.05
D1206 Topical application of fluoride varnish 28 28 $411.60
D0220 Intraoral - periapical first radiographic image 27 27 $288.88
D0603 37 37 $0.00