Medicaid Provider Spending

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

HESTIR, RANDALL

NPI: 1780754036 · DEWITT, AR 72042 · General Practice Dentistry · NPI assigned 11/08/2006

$14K
Total Medicaid Paid
564
Total Claims
521
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 564 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0240 146 108 $4K
D0120 Periodic oral evaluation - established patient 113 111 $3K
D0272 Bitewings - two radiographic images 108 107 $3K
D1208 Topical application of fluoride, excluding varnish 112 110 $2K
D1120 Prophylaxis - child 57 57 $2K
D1110 Prophylaxis - adult 14 14 $678.30
D0220 Intraoral - periapical first radiographic image 14 14 $252.70