Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › WALLA WALLA › RANDOLPH C. PEARSON, D.D.S., P.S.

RANDOLPH C. PEARSON, D.D.S., P.S.

NPI: 1790706653 · WALLA WALLA, WA 99362 · General Practice Dentistry · NPI assigned 07/23/2006

$3K
Total Medicaid Paid
165
Total Claims
162
Beneficiaries
2
Codes Billed
2018-02
First Month
2019-06
Last Month

Provider Details

Authorized OfficialPEARSON, RANDOLPH (PRESIDENT)
NPI Enumeration Date07/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $2K
2019 54 $996.53

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 105 104 $2K
D1208 Topical application of fluoride, excluding varnish 60 58 $735.49