Medicaid Provider Spending

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

VANMARTER, MARK

NPI: 1821748377 · FULTON, NY 13069 · General Practice Dentistry · NPI assigned 03/27/2022

$4K
Total Medicaid Paid
136
Total Claims
136
Beneficiaries
5
Codes Billed
2024-02
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 136 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 69 69 $2K
D1110 Prophylaxis - adult 12 12 $652.39
D1120 Prophylaxis - child 13 13 $552.80
D0274 Bitewings - four radiographic images 14 14 $403.12
D1208 Topical application of fluoride, excluding varnish 28 28 $393.50