Medicaid Provider Spending

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

KUTTAB, H JOHNNY

NPI: 1811155096 · CHICAGO, IL 60647 · Pediatric Dentist · NPI assigned 05/25/2008

$12K
Total Medicaid Paid
541
Total Claims
476
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 541 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 150 131 $5K
D0120 Periodic oral evaluation - established patient 124 108 $3K
D1206 Topical application of fluoride varnish 104 86 $2K
D0230 Intraoral - periapical each additional radiographic image 57 53 $790.40
D0150 Comprehensive oral evaluation - new or established patient 29 28 $547.30
D0220 Intraoral - periapical first radiographic image 77 70 $412.60