Medicaid Provider Spending

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

ELIZABETH WILLIAMSON DDS, PLLC

NPI: 1700187473 · ROWLETT, TX 75088 · General Practice Dentistry · NPI assigned 11/10/2010

$4K
Total Medicaid Paid
352
Total Claims
321
Beneficiaries
4
Codes Billed
2021-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialCAMPBELL, DAWN (OFFICE MANAGER)
NPI Enumeration Date11/10/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 175 $2K
2022 165 $2K
2023 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 96 86 $2K
D1208 Topical application of fluoride, excluding varnish 96 87 $1K
D1120 Prophylaxis - child 14 12 $441.00
D0602 146 136 $0.00