Medicaid Provider Spending

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

THEODORE E DODSON DDS, LLC

NPI: 1861081945 · KAHULUI, HI 96732 · Dental Clinic/Center · NPI assigned 01/13/2021

$44K
Total Medicaid Paid
1,581
Total Claims
975
Beneficiaries
6
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDODSON, THEODORE (OWNER)
NPI Enumeration Date01/13/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 59 $2K
2022 660 $19K
2023 511 $16K
2024 351 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 701 486 $26K
D9110 101 83 $6K
D0230 Intraoral - periapical each additional radiographic image 460 133 $5K
D0220 Intraoral - periapical first radiographic image 258 212 $4K
D1110 Prophylaxis - adult 28 28 $1K
D1206 Topical application of fluoride varnish 33 33 $843.15