Medicaid Provider Spending

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

MAZIQUE, EDWARD

NPI: 1669899621 · WASHINGTON, DC 20019 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/27/2014

$9K
Total Medicaid Paid
360
Total Claims
345
Beneficiaries
7
Codes Billed
2018-02
First Month
2019-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 311 $7K
2019 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 112 111 $2K
D1110 Prophylaxis - adult 29 28 $2K
D0120 Periodic oral evaluation - established patient 60 60 $2K
D0220 Intraoral - periapical first radiographic image 87 81 $1K
D1120 Prophylaxis - child 14 14 $548.69
D0274 Bitewings - four radiographic images 15 15 $502.24
D0230 Intraoral - periapical each additional radiographic image 43 36 $485.86