Medicaid Provider Spending

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

OGUNFUSIKA, MOFOLUSARA

NPI: 1740298371 · UPPER MARLBORO, MD 20772 · Dentist · NPI assigned 08/03/2006

$12K
Total Medicaid Paid
467
Total Claims
466
Beneficiaries
9
Codes Billed
2019-10
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $444.00
2020 79 $2K
2021 212 $6K
2022 140 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 104 104 $3K
D0120 Periodic oral evaluation - established patient 78 78 $2K
D0150 Comprehensive oral evaluation - new or established patient 42 42 $2K
D1110 Prophylaxis - adult 28 28 $2K
D1120 Prophylaxis - child 32 32 $1K
D0220 Intraoral - periapical first radiographic image 75 74 $675.00
D0330 Panoramic radiographic image 13 13 $546.00
D0274 Bitewings - four radiographic images 24 24 $528.00
D0230 Intraoral - periapical each additional radiographic image 71 71 $426.00