Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› ERIC J. WISDOM D.D.S., P.A.
ERIC J. WISDOM D.D.S., P.A.
NPI: 1861418469 · MANHATTAN, KS 66502 ·
1223G0001X
$61K
Total Medicaid Paid
2,601
Total Claims
2,234
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-02
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,099
$23K
2019
1,315
$33K
2020
187
$4K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
648
625
$13K
D1206
704
676
$11K
D1120
379
361
$10K
D1110
200
192
$8K
D1351
288
41
$7K
D0274
146
141
$4K
D2391
44
29
$3K
D0272
152
144
$3K
D2392
24
12
$2K
D0330
16
13
$772.00