Medicaid Provider Spending

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

GULA, IRENE

NPI: 1740478254 · RIVERDALE, IL 60827 · Dentist · NPI assigned 10/09/2007

$11K
Total Medicaid Paid
434
Total Claims
418
Beneficiary Records
5
Codes Billed
2018-03
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $994.00
2019 159 $4K
2020 244 $7K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 125 123 $5K
D0120 Periodic oral evaluation - established patient 112 109 $3K
D1208 Topical application of fluoride, excluding varnish 122 120 $3K
D0220 Intraoral - periapical first radiographic image 47 41 $235.20
D0230 Intraoral - periapical each additional radiographic image 28 25 $102.60