Medicaid Provider Spending

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

WILSON, DON

NPI: 1659360261 · MC MINNVILLE, TN 37110 · General Practice Dentistry · NPI assigned 10/17/2005

$20K
Total Medicaid Paid
757
Total Claims
756
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 757 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 274 273 $6K
D1110 Prophylaxis - adult 144 144 $6K
D1206 Topical application of fluoride varnish 255 255 $5K
D1120 Prophylaxis - child 58 58 $2K
D0272 Bitewings - two radiographic images 26 26 $444.72