Medicaid Provider Spending

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

HIWIADI, HUSAM

NPI: 1689305765 · WAUKEGAN, IL 60085 · General Practice Dentistry · NPI assigned 06/21/2022

$24K
Total Medicaid Paid
894
Total Claims
894
Beneficiaries
7
Codes Billed
2023-01
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 894 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 222 222 $9K
D1206 Topical application of fluoride varnish 222 222 $6K
D0120 Periodic oral evaluation - established patient 193 193 $5K
D0274 Bitewings - four radiographic images 84 84 $2K
D0150 Comprehensive oral evaluation - new or established patient 50 50 $1K
D0220 Intraoral - periapical first radiographic image 59 59 $396.59
D0230 Intraoral - periapical each additional radiographic image 64 64 $277.24