Medicaid Provider Spending

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

SMITH, HANS

NPI: 1861521973 · TOOELE, UT 84074 · General Practice Dentistry · NPI assigned 03/05/2007

$22K
Total Medicaid Paid
720
Total Claims
714
Beneficiaries
8
Codes Billed
2021-10
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 267 $8K
2022 453 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 116 116 $10K
D1206 Topical application of fluoride varnish 144 142 $6K
D0120 Periodic oral evaluation - established patient 112 112 $2K
D0220 Intraoral - periapical first radiographic image 124 122 $2K
D1120 Prophylaxis - child 116 115 $1K
D0274 Bitewings - four radiographic images 64 63 $364.25
D0150 Comprehensive oral evaluation - new or established patient 12 12 $206.00
D0272 Bitewings - two radiographic images 32 32 $0.00