Medicaid Provider Spending

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

KEJBOU, DANI

NPI: 1821185539 · BLOOMFIELD HILLS, MI 48304 · Dentist · NPI assigned 10/06/2006

$11K
Total Medicaid Paid
407
Total Claims
401
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $5K
2019 211 $6K
2020 33 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 245 242 $6K
D1208 Topical application of fluoride, excluding varnish 90 89 $2K
D1120 Prophylaxis - child 45 45 $2K
D1110 Prophylaxis - adult 14 12 $529.20
D0274 Bitewings - four radiographic images 13 13 $477.00