Medicaid Provider Spending

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

JOHNSON, TARA

NPI: 1851685697 · HUMBLE, TX 77346 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/08/2011

$2K
Total Medicaid Paid
125
Total Claims
101
Beneficiaries
6
Codes Billed
2024-07
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 125 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 13 $477.75
D0230 Intraoral - periapical each additional radiographic image 40 16 $460.40
D0120 Periodic oral evaluation - established patient 12 12 $346.20
D1206 Topical application of fluoride varnish 15 15 $220.50
D0220 Intraoral - periapical first radiographic image 17 17 $213.52
D0603 28 28 $0.00