Medicaid Provider Spending

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

RUTKOWSKI, CASEY

NPI: 1801382965 · OAKHURST, NJ 07755 · Dentist · NPI assigned 07/02/2018

$5K
Total Medicaid Paid
243
Total Claims
243
Beneficiaries
5
Codes Billed
2019-09
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $630.00
2020 160 $3K
2021 69 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 85 85 $4K
D0120 Periodic oral evaluation - established patient 26 26 $650.00
D0230 Intraoral - periapical each additional radiographic image 40 40 $438.00
D0220 Intraoral - periapical first radiographic image 80 80 $400.00
D0274 Bitewings - four radiographic images 12 12 $144.00