Medicaid Provider Spending

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

TEAYS DENTAL CARE

NPI: 1801069042 · HURRICANE, WV 25526 · Dentist · NPI assigned 04/09/2008

$5K
Total Medicaid Paid
270
Total Claims
228
Beneficiaries
4
Codes Billed
2018-08
First Month
2022-06
Last Month

Provider Details

Authorized OfficialMUTO, JOSEPH (CO-OWNER/DENTIST)
NPI Enumeration Date04/09/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $300.00
2019 63 $1K
2020 121 $2K
2021 32 $825.00
2022 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 107 91 $2K
D1208 Topical application of fluoride, excluding varnish 122 100 $2K
D1110 Prophylaxis - adult 29 25 $868.48
D0272 Bitewings - two radiographic images 12 12 $240.00