Medicaid Provider Spending

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

KOEPPEN, ROSS

NPI: 1871790964 · BUDA, TX 78610 · Dentist · NPI assigned 07/02/2007

$15K
Total Medicaid Paid
972
Total Claims
971
Beneficiaries
8
Codes Billed
2020-12
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 75 $812.54
2021 629 $10K
2022 268 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 172 172 $5K
D1208 Topical application of fluoride, excluding varnish 197 197 $3K
D1110 Prophylaxis - adult 32 32 $2K
D0220 Intraoral - periapical first radiographic image 136 136 $2K
D0230 Intraoral - periapical each additional radiographic image 137 136 $1K
D0274 Bitewings - four radiographic images 40 40 $1K
D1120 Prophylaxis - child 29 29 $1K
D0602 229 229 $0.00