Medicaid Provider Spending

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

HERNDON, KYLE

NPI: 1750883963 · BEAVERTON, OR 97005 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/03/2018

$42K
Total Medicaid Paid
1,762
Total Claims
1,672
Beneficiaries
10
Codes Billed
2019-08
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 548 $13K
2020 617 $13K
2021 585 $16K
2022 12 $190.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9310 422 413 $18K
D1206 Topical application of fluoride varnish 352 351 $6K
D1110 Prophylaxis - adult 100 100 $4K
D0274 Bitewings - four radiographic images 151 150 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 44 27 $3K
D0220 Intraoral - periapical first radiographic image 243 227 $3K
D0230 Intraoral - periapical each additional radiographic image 193 167 $1K
D0602 88 88 $924.00
D1120 Prophylaxis - child 17 17 $672.00
D1999 152 132 $259.00