Medicaid Provider Spending

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

HARTMANN, CLIFFORD

NPI: 1659372886 · WEST ALLIS, WI 53227 · Pediatric Dentist · NPI assigned 08/10/2005

$43K
Total Medicaid Paid
508
Total Claims
222
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 251 $26K
2019 29 $198.84
2021 81 $10K
2022 12 $320.65
2024 135 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 197 36 $31K
D9420 52 49 $8K
D0230 Intraoral - periapical each additional radiographic image 138 36 $2K
D0220 Intraoral - periapical first radiographic image 97 77 $1K
D0150 Comprehensive oral evaluation - new or established patient 24 24 $574.69