Medicaid Provider Spending

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

HOLMES, KIMBERLY

NPI: 1669047114 · WHITEHALL, OH 43213 · Dentist · NPI assigned 05/26/2021

$9K
Total Medicaid Paid
521
Total Claims
521
Beneficiaries
5
Codes Billed
2022-02
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 521 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 177 177 $3K
D1206 Topical application of fluoride varnish 176 176 $3K
D0120 Periodic oral evaluation - established patient 73 73 $1K
D0150 Comprehensive oral evaluation - new or established patient 38 38 $974.95
D0272 Bitewings - two radiographic images 57 57 $540.00