Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › GLADSTONE › WALTON, GERALD

WALTON, GERALD

NPI: 1699774729 · GLADSTONE, MO 64119 · General Practice Dentistry · NPI assigned 07/20/2005

$8K
Total Medicaid Paid
320
Total Claims
318
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 281 $7K
2019 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 172 170 $5K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $1K
D0274 Bitewings - four radiographic images 37 37 $775.00
D0120 Periodic oral evaluation - established patient 27 27 $647.00
D0210 Intraoral - complete series of radiographic images 13 13 $507.00
D1208 Topical application of fluoride, excluding varnish 44 44 $473.00