Medicaid Provider Spending

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

ANDREUCCETTI, JAY

NPI: 1831740786 · MACON, GA 31204 · General Practice Dentistry · NPI assigned 09/23/2019

$2K
Total Medicaid Paid
70
Total Claims
70
Beneficiaries
3
Codes Billed
2020-11
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 70 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 27 27 $883.92
D1206 Topical application of fluoride varnish 29 29 $660.68
D0120 Periodic oral evaluation - established patient 14 14 $313.78