Medicaid Provider Spending

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

KOSOWSKI, CHARLES

NPI: 1801931712 · GREENFIELD, WI 53228 · General Practice Dentistry · NPI assigned 02/20/2007

$34K
Total Medicaid Paid
2,386
Total Claims
1,805
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,188 $30K
2019 105 $2K
2022 37 $489.59
2023 56 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 637 171 $10K
D0150 Comprehensive oral evaluation - new or established patient 223 203 $6K
D1206 Topical application of fluoride varnish 527 514 $6K
D0191 468 457 $3K
D1120 Prophylaxis - child 129 123 $3K
D2150 Silver amalgam - two surfaces, primary or permanent 60 38 $3K
D0240 121 92 $2K
D0272 Bitewings - two radiographic images 117 103 $1K
D0220 Intraoral - periapical first radiographic image 61 61 $486.39
D0230 Intraoral - periapical each additional radiographic image 43 43 $250.97