Medicaid Provider Spending

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

HUTCHISON, EDMON

NPI: 1831329762 · ROYSE CITY, TX 75189 · Dentist · NPI assigned 07/27/2009

$2K
Total Medicaid Paid
127
Total Claims
127
Beneficiaries
4
Codes Billed
2020-12
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 41 $652.70
2021 86 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 45 45 $1K
D1208 Topical application of fluoride, excluding varnish 44 44 $632.10
D1120 Prophylaxis - child 13 13 $441.00
D0603 25 25 $0.00