Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › CEDAR RAPIDS › PFOHL, ELIZABETH

PFOHL, ELIZABETH

NPI: 1740747583 · CEDAR RAPIDS, IA 52402 · Student in an Organized Health Care Education/Training Program · NPI assigned 02/28/2019

$438.60
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2022-04
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 25 $438.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $258.00
D1206 Topical application of fluoride varnish 13 13 $180.60