Medicaid Provider Spending

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

SETLOCK, JASON

NPI: 1699808709 · BUFFALO, NY 14216 · Endodontist · NPI assigned 03/14/2007

$13K
Total Medicaid Paid
645
Total Claims
641
Beneficiaries
7
Codes Billed
2022-09
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 645 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 96 96 $4K
D0120 Periodic oral evaluation - established patient 99 99 $3K
D1206 Topical application of fluoride varnish 108 108 $2K
D0272 Bitewings - two radiographic images 56 56 $1K
D0220 Intraoral - periapical first radiographic image 88 88 $1K
D0230 Intraoral - periapical each additional radiographic image 90 86 $1K
D1330 108 108 $0.00