Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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JACKSON HTS
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FELIX, AISEL
NPI: 1801887146 · JACKSON HTS, NY 11372 ·
General Practice Dentistry
· NPI assigned 11/04/2005
$4K
Total Medicaid Paid
216
Total Claims
216
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
216
$4K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
116
116
$2K
D1110
Prophylaxis - adult
38
38
$1K
D0272
Bitewings - two radiographic images
62
62
$696.74