Medicaid Provider Spending

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

MICHAEL T. MAYO, D.D.S.,P.C.

NPI: 1861762569 · TUCSON, AZ 85712 · Pediatric Dentist · NPI assigned 01/11/2012

$55K
Total Medicaid Paid
4,389
Total Claims
3,951
Beneficiaries
8
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialRABAGO, MELISSA (FRONT OFFICE)
NPI Enumeration Date01/11/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,678 $18K
2019 1,089 $24K
2020 433 $8K
2021 587 $6K
2022 602 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 788 725 $12K
D1120 Prophylaxis - child 376 330 $10K
D1208 Topical application of fluoride, excluding varnish 862 792 $9K
D0272 Bitewings - two radiographic images 685 622 $8K
D0220 Intraoral - periapical first radiographic image 771 689 $5K
D0230 Intraoral - periapical each additional radiographic image 759 645 $4K
D0210 Intraoral - complete series of radiographic images 66 66 $4K
D1110 Prophylaxis - adult 82 82 $2K