Medicaid Provider Spending

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

GOZIKER, MARIANNA

NPI: 1689885105 · LYNBROOK, NY 11563 · General Practice Dentistry · NPI assigned 05/25/2007

$8K
Total Medicaid Paid
671
Total Claims
670
Beneficiaries
7
Codes Billed
2022-11
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 166 $2K
2023 426 $5K
2024 79 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 191 191 $3K
D1120 Prophylaxis - child 74 74 $2K
D0230 Intraoral - periapical each additional radiographic image 196 196 $1K
D0220 Intraoral - periapical first radiographic image 144 143 $952.60
D1206 Topical application of fluoride varnish 27 27 $486.00
D0274 Bitewings - four radiographic images 27 27 $365.40
D0272 Bitewings - two radiographic images 12 12 $61.20