Medicaid Provider Spending

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

PORT, AUSTIN

NPI: 1811367022 · BEACHWOOD, NJ 08722 · General Practice Dentistry · NPI assigned 09/30/2015

$18K
Total Medicaid Paid
693
Total Claims
693
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 328 $8K
2019 141 $3K
2020 84 $2K
2021 140 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 311 311 $8K
D1110 Prophylaxis - adult 114 114 $5K
D1120 Prophylaxis - child 51 51 $2K
D0274 Bitewings - four radiographic images 68 68 $816.00
D0140 Limited oral evaluation - problem focused 12 12 $495.00
D0220 Intraoral - periapical first radiographic image 98 98 $490.00
D1208 Topical application of fluoride, excluding varnish 15 15 $375.00
D0230 Intraoral - periapical each additional radiographic image 24 24 $93.00