Medicaid Provider Spending

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

PEREZ CAVNAUGH, TERESA

NPI: 1760510499 · INDIAN LAND, SC 29707 · General Practice Dentistry · NPI assigned 03/02/2007

$4K
Total Medicaid Paid
220
Total Claims
220
Beneficiaries
7
Codes Billed
2019-09
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 220 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 57 57 $2K
D1208 Topical application of fluoride, excluding varnish 31 31 $702.00
D0120 Periodic oral evaluation - established patient 24 24 $672.00
D0150 Comprehensive oral evaluation - new or established patient 18 18 $378.90
D0220 Intraoral - periapical first radiographic image 42 42 $227.80
D0272 Bitewings - two radiographic images 22 22 $206.80
D0230 Intraoral - periapical each additional radiographic image 26 26 $102.60