Medicaid Provider Spending

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

FANTUZZO, DONALD

NPI: 1861594061 · MARTINSVILLE, IN 46151 · General Practice Dentistry · NPI assigned 09/01/2006

$16K
Total Medicaid Paid
364
Total Claims
352
Beneficiaries
6
Codes Billed
2020-06
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 49 $2K
2021 194 $9K
2022 121 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 181 173 $9K
D0150 Comprehensive oral evaluation - new or established patient 117 114 $5K
D0210 Intraoral - complete series of radiographic images 14 14 $744.12
D0140 Limited oral evaluation - problem focused 14 14 $615.48
D0120 Periodic oral evaluation - established patient 26 25 $609.62
D0274 Bitewings - four radiographic images 12 12 $439.62