Medicaid Provider Spending

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

SMITH, JONATHAN

NPI: 1679911606 · MOBILE, AL 36612 · Dentist · NPI assigned 06/12/2013

$7K
Total Medicaid Paid
546
Total Claims
529
Beneficiaries
9
Codes Billed
2023-01
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 384 $5K
2024 162 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 88 88 $3K
D1206 Topical application of fluoride varnish 99 99 $1K
D0220 Intraoral - periapical first radiographic image 106 100 $841.52
D0230 Intraoral - periapical each additional radiographic image 87 80 $725.13
D0120 Periodic oral evaluation - established patient 33 30 $692.40
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 26 25 $623.53
D0150 Comprehensive oral evaluation - new or established patient 12 12 $388.52
D0603 69 69 $0.00
D0601 26 26 $0.00