Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › SATSUMA › TEDDER, DIANA

TEDDER, DIANA

NPI: 1801966494 · SATSUMA, AL 36572 · General Practice Dentistry · NPI assigned 11/09/2006

$1K
Total Medicaid Paid
68
Total Claims
66
Beneficiaries
2
Codes Billed
2019-07
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $646.00
2020 26 $637.00
2021 12 $216.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 28 27 $815.00
D1208 Topical application of fluoride, excluding varnish 40 39 $684.00