Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VT › BRATTLEBORO › FELLOWS, JACQUELINE

FELLOWS, JACQUELINE

NPI: 1750317368 · BRATTLEBORO, VT 05301 · Dentist · NPI assigned 06/24/2006

$8K
Total Medicaid Paid
304
Total Claims
290
Beneficiaries
4
Codes Billed
2018-02
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $802.00
2019 67 $1K
2020 59 $1K
2021 56 $2K
2022 81 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 139 135 $3K
D1110 Prophylaxis - adult 56 52 $2K
D1206 Topical application of fluoride varnish 97 91 $2K
D1120 Prophylaxis - child 12 12 $374.00