Medicaid Provider Spending

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

DODOBARAS,D.D.S.,P.S.

NPI: 1790004869 · FEDERAL WAY, WA 98003 · General Practice Dentistry · NPI assigned 05/27/2010

$13K
Total Medicaid Paid
510
Total Claims
507
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCAREY, SHAWNA (OFFICE MANAGER)
NPI Enumeration Date05/27/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $2K
2019 103 $2K
2020 118 $3K
2021 92 $2K
2022 27 $1K
2023 39 $1K
2024 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 287 285 $7K
D1110 Prophylaxis - adult 115 115 $5K
D0274 Bitewings - four radiographic images 96 95 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $139.12