Medicaid Provider Spending

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

MOEGGENBORG, BRENT

NPI: 1700928215 · ALMA, MI 48801 · Dentist · NPI assigned 02/12/2007

$4K
Total Medicaid Paid
170
Total Claims
170
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 69 69 $2K
D1206 Topical application of fluoride varnish 57 57 $1K
D1120 Prophylaxis - child 32 32 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $141.51