Medicaid Provider Spending

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

PENDLETON, STEVEN

NPI: 1770571952 · KANSAS CITY, KS 66112 · General Practice Dentistry · NPI assigned 10/11/2005

$11K
Total Medicaid Paid
614
Total Claims
576
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 614 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 93 93 $2K
D1110 Prophylaxis - adult 44 43 $2K
D0272 Bitewings - two radiographic images 91 91 $2K
D0220 Intraoral - periapical first radiographic image 136 129 $2K
D1208 Topical application of fluoride, excluding varnish 92 91 $2K
D0230 Intraoral - periapical each additional radiographic image 139 110 $1K
D1120 Prophylaxis - child 19 19 $609.90