Medicaid Provider Spending

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

SUN, JUNE

NPI: 1710078308 · MILLVILLE, NJ 08332 · General Practice Dentistry · NPI assigned 09/27/2006

$2K
Total Medicaid Paid
376
Total Claims
373
Beneficiaries
7
Codes Billed
2018-02
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 123 $1K
2019 66 $531.00
2021 42 $275.00
2022 76 $0.00
2023 69 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 177 176 $2K
D0274 Bitewings - four radiographic images 29 29 $165.00
D0220 Intraoral - periapical first radiographic image 28 26 $70.00
D1208 Topical application of fluoride, excluding varnish 55 55 $50.00
D0230 Intraoral - periapical each additional radiographic image 25 25 $39.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $0.00
D1110 Prophylaxis - adult 50 50 $0.00