Medicaid Provider Spending

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

NPI: 1841404910 · BOONE, IA 50036 · General Practice Dentistry · NPI assigned 05/09/2007

$2K
Total Medicaid Paid
112
Total Claims
109
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $1K
2019 37 $614.04
2020 12 $196.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 73 71 $1K
D1110 Prophylaxis - adult 27 26 $931.32
D1120 Prophylaxis - child 12 12 $270.27