Medicaid Provider Spending

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

POLZIN, ANDREA

NPI: 1710188586 · MARINETTE, WI 54143 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/30/2007

$48K
Total Medicaid Paid
1,628
Total Claims
1,626
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 608 $18K
2019 613 $18K
2020 272 $8K
2021 135 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 460 460 $18K
D0120 Periodic oral evaluation - established patient 578 578 $16K
D1206 Topical application of fluoride varnish 518 518 $12K
D1110 Prophylaxis - adult 29 29 $1K
D0274 Bitewings - four radiographic images 16 16 $576.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $559.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14 12 $0.00