Medicaid Provider Spending

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

HALES, ROBERT

NPI: 1770974982 · EAST GREENBUSH, NY 12061 · Pediatric Dentist · NPI assigned 02/10/2015

$26K
Total Medicaid Paid
886
Total Claims
880
Beneficiaries
8
Codes Billed
2019-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 222 $6K
2020 181 $5K
2023 216 $7K
2024 267 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 194 194 $9K
D0120 Periodic oral evaluation - established patient 239 237 $7K
D1110 Prophylaxis - adult 89 88 $4K
D1208 Topical application of fluoride, excluding varnish 130 130 $2K
D0230 Intraoral - periapical each additional radiographic image 104 102 $2K
D0274 Bitewings - four radiographic images 87 86 $1K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $900.00
D0220 Intraoral - periapical first radiographic image 13 13 $38.00