Medicaid Provider Spending

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

MEKY, MONA

NPI: 1801342449 · SAN ANTONIO, TX 78249 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/01/2016

$19K
Total Medicaid Paid
959
Total Claims
950
Beneficiaries
8
Codes Billed
2018-02
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 264 $5K
2019 463 $9K
2020 232 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 208 206 $7K
D0140 Limited oral evaluation - problem focused 145 143 $3K
D0120 Periodic oral evaluation - established patient 151 150 $2K
D1206 Topical application of fluoride varnish 151 151 $2K
D0274 Bitewings - four radiographic images 88 86 $2K
D0150 Comprehensive oral evaluation - new or established patient 71 69 $2K
D1120 Prophylaxis - child 44 44 $882.00
D0220 Intraoral - periapical first radiographic image 101 101 $504.00